Ryan Michael Lebreton, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

2973AT Issued in OR

Practice address

415 Washington St
The Dalles, OR 97058-2215

Phone

(541) 296-2911

Fax

(541) 296-2224

NPI assigned

Dec 1, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OR

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

Specialty

Optometry

Education

Pacific University - College of Optometry, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

DRS Mauck and Perkins Opt PCGroup PAC ID 9638165111, 2 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

90.61 of 100Reported as group

Quality

81.23

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ryanlebreton@direct.revolutionehr.com

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.

• DRS Mauck & Perkins Opt PC

  • Optometrist
  • The Dalles, OR
  • NPI 1407841406
  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1133395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195171200000",
    "number": "1528042769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 883",
            "city": "THE DALLES",
            "state": "OR",
            "postal_code": "970580883",
            "telephone_number": "541-296-2911",
            "fax_number": "541-296-2224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 WASHINGTON ST",
            "city": "THE DALLES",
            "state": "OR",
            "postal_code": "970582215",
            "telephone_number": "541-296-2911",
            "fax_number": "541-296-2224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEBRETON",
        "first_name": "RYAN",
        "middle_name": "MICHAEL",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-01",
        "last_updated": "2007-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OR",
            "license": "2973AT",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "233145",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michele Lamb
• Karen Marie Lamp, EXCPT
• McKenna Grim Lashley
• Madeline Lawrence, FNP-BC
• Walter James Leatherman, RPH
• Paula Maria Lee-Valkov, M.D.
• Betty Jo Lee, CNA,CMA
• Matthew Young Lee, PHARMD
• Sophia Lehmer
• Adam Leikensohn, M.D.

• Optometrist in The Dalles, OR
• Providers in The Dalles, OR by specialty
• Optometrist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.