Individual provider Active NPI

Ryan Chrencik, OD

  • Optometrist
  • Louisville, KY
National Provider Identifier
1487427316
Registry record updated Nov 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4901005742 Issued in MI
Practice address
12910 Shelbyville Rd Ste 300
Louisville, KY 40243-2404
Phone
(855) 259-9183
NPI assigned
Nov 2, 2023
Last updated
Nov 2, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 2, 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 4901005742 MI Primary

Addresses

Primary practice location

12910 Shelbyville Rd Ste 300
Louisville, KY 40243-2404

Mailing address

5769 Bent Tree Dr
Gaylord, MI 49735-7604
Phone (989) 350-7702

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20231117000196 MI Practitioner - Optometry 5294182945 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Onsight IncGroup PAC ID 6507938800, 27 clinicians

Practice addresses (Care Compare)

601 Abbot Rd
East Lansing, MI 48823-3366
Phone 24852821166

Merit-based Incentive Payment System (MIPS)

Final score
92.82 of 100Reported as group
Quality
61.63
Promoting interoperability
100
Improvement activities
40
Cost
81.1

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Lakeside Vision, Prudenville, PC Optometrist CurrentSince Nov 9, 2023 Accepting new patients
Onsight, Inc. CurrentSince Nov 12, 2023 Accepting new patients
Townline Family PC Optometrist CurrentSince Mar 28, 2025 Accepting new patients
Onsight, Inc. CurrentSince Nov 12, 2023 Accepting new patients
Lakeside Vision Inc Optometrist CurrentSince Nov 9, 2023 Accepting new patients
Onsight, Inc. Current Accepting new patients
Giaimo Mobile Podiatry of WV PLLC Past Accepting new patients
Onsight, Inc. Optometrist Past Accepting new patients
Robert & Kimberly Molter Inc Optometrist PastSince Mar 28, 2025 Accepting new patients

Locations

12910 Shelbyville Rd
Ste 300
Louisville, KY 40243
Phone (502) 214-0693

2567 W Grand Blvd
Detroit, MI 48208
Phone (313) 895-2990

601 Abbott Rd
East Lansing, MI 48823
Phone 24852821166

882 M 72 W
Kalkaska, MI 49646
Phone (231) 258-9781

1200 Kirts Blvd
Ste 200
Troy, MI 48084
Phone 24852819814031

Organizations & group practices 9

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": "1698883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698883200000",
    "number": "1487427316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5769 BENT TREE DR",
            "city": "GAYLORD",
            "state": "MI",
            "postal_code": "497357604",
            "telephone_number": "989-350-7702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12910 SHELBYVILLE RD STE 300",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402432404",
            "telephone_number": "855-259-9183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHRENCIK",
        "first_name": "RYAN",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-11-02",
        "last_updated": "2023-11-02",
        "certification_date": "2023-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901005742",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.