Individual provider Active NPI

Ryan Carl Emrick, O.D.

  • Optometrist
  • Wichita, KS
National Provider Identifier
1427361385
Registry record updated Jul 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1868 Issued in KS
Practice address
1202 W Maple St
Wichita, KS 67213
Phone
(316) 262-3716
NPI assigned
Jul 21, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1868 KS Primary

Addresses

Primary practice location

1202 W Maple St
Wichita, KS 67213

Mailing address

1202 W Maple St
Wichita, KS 67213-3916
Phone (316) 262-3716

Other practice location 1

512 Commercial St
Emporia, KS 66801-4006
Phone (620) 343-7120

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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
I20110511000159 KS Practitioner - Optometry 8123212776 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
West Wichita Family OptometristsGroup PAC ID 0749181584, 6 clinicians

Practice addresses (Care Compare)

1202 W Maple St
Wichita, KS 67213-3916
Phone (316) 262-3716

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2651OKMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
West Wichita Family Optometrists Optometrist CurrentSince Jul 1, 2019 Accepting new patients
Butcher Optical III, Inc Optometrist PastSince Jan 1, 2013 Accepting new patients
Jeffrey M. Butcher, OD, PC Optometrist Past Accepting new patients

Locations

1202 W Maple St
Wichita, KS 67213
Phone (316) 262-3716

Interoperability endpoints

  • Direct secure messaging: remrick@direct.eyecare-partners.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1279670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562716800000",
    "number": "1427361385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1202 W MAPLE ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672133916",
            "telephone_number": "316-262-3716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1202 W MAPLE ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "67213",
            "telephone_number": "316-262-3716"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "512 Commercial St",
            "address_purpose": "LOCATION",
            "city": "Emporia",
            "state": "KS",
            "postal_code": "668014006",
            "country_code": "US",
            "telephone_number": "620-343-7120",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EMRICK",
        "first_name": "RYAN",
        "middle_name": "CARL",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-21",
        "last_updated": "2019-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KS",
            "license": "1868",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.