Individual provider Active NPI

Ryan William Doran, O.D.

  • Optometrist
  • Monmouth Junction, NJ
National Provider Identifier
1497063622
Registry record updated Sep 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TA2281 Issued in MD
Practice address
1 Executive Dr
Monmouth Junction, NJ 08852-2407
Phone
(732) 297-7575
NPI assigned
Sep 22, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TA2281 MD Primary
Optometrist 152W00000X 0618002097 VA

Addresses

Primary practice location

1 Executive Dr
Monmouth Junction, NJ 08852-2407

Mailing address

1950 Old Gallows Rd 520
Vienna, VA 22182-3970
Phone (703) 847-8899

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20120813000003 VA Practitioner - Optometry 1456529973 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Myeyedr Optometry of Virginia PLLC Optometrist Current Accepting new patients
Myeyedr Optometry of Virginia, PLLC Optometrist CurrentSince Oct 6, 2015 Accepting new patients
Myeyedr Optometry of Virginia, PLLC Optometrist CurrentSince Oct 6, 2015 Accepting new patients
Aliari, Inc. Optometrist Past Accepting new patients
Ballston Optometry, LLC Optometrist Past Accepting new patients

Locations

2823 Clarendon Blvd
Arlington, VA 22201
Phone (703) 294-6600

44727 Brimfield Dr
Ashburn, VA 20147
Phone (571) 385-4600

7511 Leesburg Pike
Ste 101B
Falls Church, VA 22043
Phone (703) 942-5300

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

1950 Old Gallows Rd
Ste 520
Vienna, VA 22182

8369 Leesburg Pike
Ste A
Vienna, VA 22182
Phone (703) 506-0000

401 Maple Ave W
Vienna, VA 22180
Phone (703) 938-5544

Organizations & group practices 5

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": "1285113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1443398400000",
    "number": "1497063622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 OLD GALLOWS RD 520",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221823970",
            "telephone_number": "703-847-8899",
            "fax_number": "703-991-0514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 EXECUTIVE DR",
            "city": "MONMOUTH JUNCTION",
            "state": "NJ",
            "postal_code": "088522407",
            "telephone_number": "732-297-7575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DORAN",
        "first_name": "RYAN",
        "middle_name": "WILLIAM",
        "name_prefix": "Mr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-09-22",
        "last_updated": "2015-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MD",
            "license": "TA2281",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618002097",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monmouth Junction, NJ

Sources for this page

Verify at the official NPI Registry.