Individual provider Active NPI

Ryan Junidi, OD

  • Optometrist
  • Woodbury, MN
National Provider Identifier
1407532781
Registry record updated Jun 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3879 Issued in MN
Practice address
237 Radio Dr
Suite 100
Woodbury, MN 55125-4478
Phone
(651) 275-3000
NPI assigned
Jun 22, 2023
Last updated
Jun 22, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3879 MN Primary

Addresses

Primary practice location

237 Radio Dr
Suite 100
Woodbury, MN 55125-4478

Mailing address

325 Cedar St Apt 807
Saint Paul, MN 55101-1012
Phone (618) 204-2923

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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

Enrollment IDStateProvider typePAC IDDetails
I20230828003995 MN Practitioner - Optometry 7416310180 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sees the Day LTDGroup PAC ID 7517921372, 8 clinicians

Practice addresses (Care Compare)

7150 Valley Creek PLZ
Suite 216
Woodbury, MN 55125-2271
Phone (651) 738-4886

Merit-based Incentive Payment System (MIPS)

Final score
83.67 of 100Reported as group
Quality
86.92
Promoting interoperability
82
Improvement activities
40
Cost
73.64

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3879MNMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Brokea Inc. Optometrist CurrentSince Jun 1, 2024 Accepting new patients
Sees the Day LTD Optometrist Current Accepting new patients
Sees the Day LTD Optometrist CurrentSince Jul 17, 2025 Accepting new patients
Associated Eye Care Optical LLC PastSince Jun 25, 2023 Accepting new patients

Locations

13195 Weaver Lake Rd
Maple Grove, MN 55369
Phone (763) 420-5112

7150 Valley Creek Plz
Ste 216
Woodbury, MN 55125
Phone (651) 738-4886

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1687392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687392000000",
    "number": "1407532781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 CEDAR ST APT 807",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551011012",
            "telephone_number": "618-204-2923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "237 RADIO DR",
            "address_2": "SUITE 100",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551254478",
            "telephone_number": "651-275-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUNIDI",
        "first_name": "RYAN",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-06-22",
        "last_updated": "2023-06-22",
        "certification_date": "2023-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MN",
            "license": "3879",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbury, MN

Sources for this page

Verify at the official NPI Registry.