Individual provider Active NPI

Ryan Eric Kern, OD

  • Optometrist
  • Greenville, NC
National Provider Identifier
1497232425
Registry record updated May 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2849 Issued in NC
Practice address
9 Medical Dr BLDG 9a
Greenville, NC 27834-2805
Phone
(252) 816-8000
NPI assigned
Jul 23, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 6, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG003438 PA
Optometrist 152W00000X 2161DT KY
Optometrist 152W00000X 2849 NC Primary

Addresses

Primary practice location

9 Medical Dr BLDG 9a
Greenville, NC 27834-2805

Mailing address

9 Medical Dr BLDG 9a
Greenville, NC 27834-2805
Phone (252) 816-8000

Other practice location 1

3300 Henry Ave Ste 104
Philadelphia, PA 19129-1121
Phone (215) 276-6000

Other practice location 2

7630 Germantown Ave Ste 4
Philadelphia, PA 19118-3529
Phone (215) 276-6000

Other practice location 3

1200 W Godfrey Ave
Philadelphia, PA 19141-3323
Phone (215) 276-6000

Other practice location 4

911 Bypass Rd Bldg A
Pikeville, KY 41501-1689
Phone (606) 430-2209

Other practice location 5

147 Sycamore St
Pikeville, KY 41501-9118
Phone (606) 218-5540

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rkern31958@PIKEVILLEDIRECT.ORG Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, NC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20191008001384 KY Practitioner - Optometry 7214285253 Reassigns benefits to 1 organization
I20250516000483 NC Practitioner - Optometry 7214285253 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vidant Medical Group LLCGroup PAC ID 0345343893, 986 clinicians

Practice addresses (Care Compare)

401 A N Main St
Kenansville, NC 28349-8801
Phone (910) 296-0941

401 N Main St
Kenansville, NC 28349-8801
Phone (910) 296-0941

417 N Main St
Kenansville, NC 28349-8801
Phone (910) 296-8080

9 Medical Dr
Greenville, NC 27834-2805
Phone (252) 816-9700

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.67 of 100Reported as group
Quality
81.47
Promoting interoperability
100
Improvement activities
40
Cost
81.83

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2849NCMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
University of Pikeville Optometrist CurrentSince May 9, 2020 Accepting new patients
Vidant Medical Group LLC CurrentSince May 12, 2025 Accepting new patients
Pennsylvania College of Optometry Optometrist Past Accepting new patients
Pikeville Medical Center Inc PastSince Sep 1, 2019 Accepting new patients

Locations

41 Triangle St
Martin, KY 41649
Phone (606) 218-5540

911 Bypass Rd
Pikeville, KY 41501
Phone (606) 218-4530

147 Sycamore St
Pikeville, KY 41501
Phone (606) 218-5250

911 Bypass Rd
#9
Pikeville, KY 41501
Phone (606) 218-6409

911 Bypass Rd
Bldg A
Pikeville, KY 41501
Phone (606) 430-2201

401 N Main St
Kenansville, NC 28349
Phone (910) 296-0941

Interoperability endpoints

  • Direct secure messaging: rkern31958@pikevilledirect.org

Organizations & group practices 4

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.

Hospital & facility affiliations 2

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": "1532304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746489600000",
    "number": "1497232425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 MEDICAL DR BLDG 9A",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278342805",
            "telephone_number": "252-816-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 MEDICAL DR BLDG 9A",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278342805",
            "telephone_number": "252-816-8000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3300 Henry Ave Ste 104",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191291121",
            "country_code": "US",
            "telephone_number": "215-276-6000",
            "fax_number": "215-276-1329",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7630 Germantown Ave Ste 4",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191183529",
            "country_code": "US",
            "telephone_number": "215-276-6000",
            "fax_number": "215-276-1329",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1200 W Godfrey Ave",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191413323",
            "country_code": "US",
            "telephone_number": "215-276-6000",
            "fax_number": "215-276-1329",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "911 Bypass Rd Bldg A",
            "address_purpose": "LOCATION",
            "city": "Pikeville",
            "state": "KY",
            "postal_code": "415011689",
            "country_code": "US",
            "telephone_number": "606-430-2209",
            "fax_number": "606-218-7509",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "147 Sycamore St",
            "address_purpose": "LOCATION",
            "city": "Pikeville",
            "state": "KY",
            "postal_code": "415019118",
            "country_code": "US",
            "telephone_number": "606-218-5540",
            "fax_number": "606-285-5541",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KERN",
        "first_name": "RYAN",
        "middle_name": "ERIC",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-07-23",
        "last_updated": "2025-05-06",
        "certification_date": "2025-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG003438",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KY",
            "license": "2161DT",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "2849",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rkern31958@PIKEVILLEDIRECT.ORG",
            "affiliation": "N",
            "endpointDescription": "Direct address for ccda",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Standard direct functionality",
            "address_1": "911 Bypass Rd Bldg A",
            "city": "Pikeville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "415011689",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Greenville, NC

Sources for this page

Verify at the official NPI Registry.