Individual provider Active NPI

Ryan James Dugan, OD

  • Optometrist
  • Tucson, AZ
National Provider Identifier
1497237408
Registry record updated Sep 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT-002285 Issued in AZ
Practice address
3601 S 6TH Ave BLDG 80
Tucson, AZ 85723-0001
Phone
(520) 792-1450
NPI assigned
Sep 6, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 6, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X OPT-002285 AZ Primary

Addresses

Primary practice location

3601 S 6TH Ave BLDG 80
Tucson, AZ 85723-0001

Mailing address

3601 S 6TH Ave BLDG 80
Tucson, AZ 85723-0001
Phone (520) 792-1450

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20191030002002 CO Practitioner - Optometry 1759613474 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Montgomery Eye Care PCGroup PAC ID 7911893912, 3 clinicians
Carbon Valley Eye CareGroup PAC ID 1557585528, 5 clinicians

Practice addresses (Care Compare)

10465 Melody Dr
Suite 111
Northglenn, CO 80234-4124
Phone (303) 252-9981

5900 Keyes St
Suite 101
Frederick, CO 80504-5956
Phone (303) 833-1056

Merit-based Incentive Payment System (MIPS)

Final score
65.14 of 100Reported as individual
Quality
69.77
Promoting interoperability
37
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
OPT-002285AZMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
3D Vision, Inc Optometrist CurrentSince Oct 1, 2019 Accepting new patients
3D Vision, Inc Optometrist CurrentSince Oct 1, 2019 Accepting new patients
Montgomery Eye Care PC Single Specialty CurrentSince May 10, 2021 Accepting new patients

Locations

5760 W 120th Ave
Ste 240
Broomfield, CO 80020
Phone (303) 239-3937

5760 W 120th Ave
Broomfield, CO 80020
Phone (303) 404-3937

10465 Melody Dr
Ste 111
Northglenn, CO 80234
Phone (303) 252-9981

4080 W Northern Ave
Pueblo, CO 81005
Phone (719) 551-7337

8403 Bryant St
Westminster, CO 80031
Phone (303) 426-4810

Interoperability endpoints

  • Direct secure messaging: ryan.dugan.p1@direct.jfraterelli.nextgenshare.com

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": "1536192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536192000000",
    "number": "1497237408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3601 S 6TH AVE BLDG 80",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857230001",
            "telephone_number": "520-792-1450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 S 6TH AVE BLDG 80",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857230001",
            "telephone_number": "520-792-1450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUGAN",
        "first_name": "RYAN",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-09-06",
        "last_updated": "2018-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "OPT-002285",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.