Organization Active NPI

Dr Chelsea Ryzuk

  • Optometrist
  • Charleston, SC
National Provider Identifier
1407425754
Registry record updated Jun 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
DR CHELSEA RYZUK
Practice address
579 Folly Rd Ste 14083
Charleston, SC 29412-3005
Phone
(843) 481-5459
NPI assigned
Jun 22, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2021

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

Authorized official

Name
Chelsea Ryzuk
Title
Member
Phone
(631) 235-5050

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

579 Folly Rd Ste 14083
Charleston, SC 29412-3005

Mailing address

579 Folly Rd Ste 14083
Charleston, SC 29412-3005
Phone (843) 481-5459

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL cryzuk@ryzukeye.com Direct

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1624320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624838400000",
    "number": "1407425754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "579 FOLLY RD STE 14083",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294123005",
            "telephone_number": "843-481-5459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "579 FOLLY RD STE 14083",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294123005",
            "telephone_number": "843-481-5459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR CHELSEA RYZUK",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-22",
        "last_updated": "2021-06-28",
        "certification_date": "2021-06-28",
        "status": "A",
        "authorized_official_last_name": "RYZUK",
        "authorized_official_first_name": "CHELSEA",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "631-235-5050"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "cryzuk@ryzukeye.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "579 Folly Rd Ste 14083",
            "city": "Charleston",
            "state": "SC",
            "country_code": "US",
            "postal_code": "294123005",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Charleston, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.