Individual provider Active NPI

Patrick W.a. Ryan, OD

  • Optometrist
  • Richmond, VA
National Provider Identifier
1497748016
Registry record updated Nov 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1248 Issued in VA
Practice address
3410 Pump Rd
Richmond, VA 23233-1111
Phone
(804) 364-1837
Fax
(804) 364-1698
NPI assigned
Aug 30, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 10, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1248 VA Primary

Addresses

Primary practice location

3410 Pump Rd
Richmond, VA 23233-1111

Mailing address

3410 Pump Rd
Richmond, VA 23233-1111
Phone (804) 364-1837

Other identifiers 1

IdentifierTypeStateIssuer
410037465OtherVARAILROAD MEDICARE

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
I20081203000728 VA Practitioner - Optometry 2860553252 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1248VAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
DRS Rainer & Ryan Optometrists PLC Optometrist CurrentSince Jan 1, 2001 Accepting new patients
James River Eye Associates Optometrist CurrentSince Oct 27, 2016 Accepting new patients
Vision Center PC Optometrist CurrentSince Nov 12, 2008 Accepting new patients

Locations

10116 Brook Rd
Glen Allen, VA 23059
Phone (804) 515-7733

3410 Pump Rd
Richmond, VA 23233
Phone (804) 364-1837

5617 W Broad St
Richmond, VA 23230
Phone (804) 282-7228

Organizations & group practices 3

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": "1125360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1226275200000",
    "number": "1497748016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3410 PUMP RD",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232331111",
            "telephone_number": "804-364-1837",
            "fax_number": "804-364-1698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3410 PUMP RD",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232331111",
            "telephone_number": "804-364-1837",
            "fax_number": "804-364-1698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYAN",
        "first_name": "PATRICK",
        "middle_name": "W.A.",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-30",
        "last_updated": "2008-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "1248",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "410037465",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

Verify at the official NPI Registry.