Ryan Glenn Palmer, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

1299 Issued in NE

Practice address

257 S 19TH St
Blair, NE 68008-1903

Phone

(402) 426-4601

Fax

(402) 426-4710

NPI assigned

Apr 14, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NE

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

Indiana University - School of Optometry, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: drpalmer@direct.revolutionehr.com

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.

• Blair Eye Associates, LLC

  • Optometrist
  • Blair, NE
  • NPI 1396170627
  Medicare reassignment NPD Authorized official
• Byford J Klein OD PC

  • Optometrist
  • Blair, NE
  • NPI 1942538921
  NPD (past)
• Mobile Medical, Inc.

  • Podiatrist
  • Perrysburg, OH
  • NPI 1003066747
  NPD (past)

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

{
    "created_epoch": "1176508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346284800000",
    "number": "1437374659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "257 S 19TH ST",
            "city": "BLAIR",
            "state": "NE",
            "postal_code": "680081903",
            "telephone_number": "402-426-4601",
            "fax_number": "402-426-4710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "257 S 19TH ST",
            "city": "BLAIR",
            "state": "NE",
            "postal_code": "680081903",
            "telephone_number": "402-426-4601",
            "fax_number": "402-426-4710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALMER",
        "first_name": "RYAN",
        "middle_name": "GLENN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-14",
        "last_updated": "2012-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "5646T2560",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KY",
            "license": "1715DT",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NE",
            "license": "1299",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "000000547841",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Opfer
• Katherine Orr, PT
• Andrea L Ott, PA-C
• Christy A Ott, PA-C
• Cameron J Ourada, PA-C
• Alicia Parnell
• Susan Patterson
• Madison Paulson
• Peaceofmindprotectiveservices@Gmail.Com
• Cassie Joann Petersen

• Optometrist in Blair, NE
• Providers in Blair, NE by specialty
• Optometrist in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2012; 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.