Ryan Hansen, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

046-011291 Issued in IL

Practice address

4775 E Rockton Rd Unit a
Roscoe, IL 61073-9076

Phone

(815) 242-9886

Fax

(815) 242-9809

NPI assigned

Jun 19, 2017

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Illinois College of Optometry at Chicago, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Stoneview Eye Care, LLCGroup PAC ID 5698175529, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Stoneview Eye Care, LLC

  • Optometrist
  • Roscoe, IL
  • NPI 1568042463
  Medicare reassignment Care Compare group NPD Authorized official
• Christina J. Levi O D P C

  • Optometrist
  • Edwardsville, IL
  • NPI 1033261904
  NPD (past)
• Aeg Maryland Professional LLC

  • Optometrist
  • Gaithersburg, MD
  • NPI 1962182782
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1497830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626652800000",
    "number": "1407386667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4775 E ROCKTON RD UNIT A",
            "city": "ROSCOE",
            "state": "IL",
            "postal_code": "610739076",
            "telephone_number": "815-242-9886",
            "fax_number": "815-242-9809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4775 E ROCKTON RD UNIT A",
            "city": "ROSCOE",
            "state": "IL",
            "postal_code": "610739076",
            "telephone_number": "815-242-9886",
            "fax_number": "815-242-9809"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1603 N Alpine Rd Ste 121",
            "address_purpose": "LOCATION",
            "city": "Rockford",
            "state": "IL",
            "postal_code": "611071439",
            "country_code": "US",
            "telephone_number": "815-397-5959",
            "fax_number": "815-261-5971",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HANSEN",
        "first_name": "RYAN",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-19",
        "last_updated": "2021-07-19",
        "certification_date": "2021-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046-011291",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey David Gurtizen, D.O.
• Emily Kathleen Hamaker, MD
• Lynn Carol Hamilton, LCPC
• Hands on Health Physical Therapy PC
• David L. Hansen, MD
• Tarek Samir Harb, MD
• Harlem Roscoe Fire Protection District
• Hart Mobility LLC
• Carlina Hart, LCSW
• Lauren K. Hart, PT

• Optometrist in Roscoe, IL
• Providers in Roscoe, IL by specialty
• Optometrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.