Individual provider Active NPI

James Darin Ries, OD

  • Optometrist
  • Canby, MN
National Provider Identifier
1427064757
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2670 Issued in MN
Practice address
107 1St Street East
Canby, MN 56220
Phone
(507) 223-5818
Fax
(507) 223-7737
NPI assigned
Jul 31, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2670 MN Primary

Addresses

Primary practice location

107 1St Street East
Canby, MN 56220

Mailing address

202 Oconnell
Suite 1
Marshall, MN 56258
Phone (507) 532-5777

Other identifiers 14

IdentifierTypeStateIssuer
163J9RIOtherMNBCBS OF MN
163J4RIOtherMNBCBS BLUE PLUS OF MN
163J9RIOtherMNBCBS BLUE PLUS OF MN
164J4RIOtherMNBCBS OF MN
164J4RIOtherMNBCBS BLUE PLUS OF MN
2200501OtherMNMEDICA
9203188OtherSDSOUTH DAKOTA MEDICAID
163J4RIOtherMNBCBS OF MN
2200502OtherMNMEDICA
123165OtherMNUCARE MN
2200503OtherMNMEDICA
774451025290OtherMNPREFERRED ONE
774471025290OtherMNPREFERRED ONE
781101025290OtherMNPREFERRED ONE

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
I20040507000505 MN Practitioner - Optometry 4587653357 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Avera MarshallGroup PAC ID 5799695227, 102 clinicians

Practice addresses (Care Compare)

130 1St St W
Suite 105
Canby, MN 56220-1465
Phone (507) 223-5818

300 S Bruce St
Marshall, MN 56258-1934
Phone (507) 537-9165

878 6TH St
Dawson, MN 56232-2401
Phone (320) 769-2977

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2670MNMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Avera Marshall Optometrist CurrentSince Feb 1, 2024 Accepting new patients
Avera Marshall Current Accepting new patients
Avera Marshall CurrentSince Feb 1, 2024 Accepting new patients

Locations

878 6th St
Dawson, MN 56232
Phone (320) 769-2977

202 S Oconnell St
Ste 1
Marshall, MN 56258
Phone (507) 532-5777

300 S Bruce St
Marshall, MN 56258
Phone (507) 532-9631

Interoperability endpoints

  • Direct secure messaging: jries@avera.intellechartdirect.net

Organizations & group practices 3

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1427064757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 OCONNELL",
            "address_2": "SUITE 1",
            "city": "MARSHALL",
            "state": "MN",
            "postal_code": "56258",
            "telephone_number": "507-532-5777",
            "fax_number": "507-532-2087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 1ST STREET EAST",
            "city": "CANBY",
            "state": "MN",
            "postal_code": "56220",
            "telephone_number": "507-223-5818",
            "fax_number": "507-223-7737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIES",
        "first_name": "JAMES",
        "middle_name": "DARIN",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MN",
            "license": "2670",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MN",
            "identifier": "163J9RI",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS BLUE PLUS OF MN",
            "identifier": "163J4RI",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS BLUE PLUS OF MN",
            "identifier": "163J9RI",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MN",
            "identifier": "164J4RI",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS BLUE PLUS OF MN",
            "identifier": "164J4RI",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA",
            "identifier": "2200501",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOUTH DAKOTA MEDICAID",
            "identifier": "9203188",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MN",
            "identifier": "163J4RI",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA",
            "identifier": "2200502",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UCARE MN",
            "identifier": "123165",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA",
            "identifier": "2200503",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED ONE",
            "identifier": "774451025290",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED ONE",
            "identifier": "774471025290",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED ONE",
            "identifier": "781101025290",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Canby, MN

Sources for this page

Verify at the official NPI Registry.