Individual provider Active NPI

Ryan Richard Evans, O.D.

  • Optometrist
  • Murrieta, CA
National Provider Identifier
1548575111
Registry record updated Aug 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
13930 Issued in CA
Practice address
40700 California Oaks Rd
Murrieta, CA 92562-5789
Phone
(951) 696-1135
NPI assigned
Aug 8, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 13930 CA Primary

Addresses

Primary practice location

40700 California Oaks Rd
Murrieta, CA 92562-5789

Mailing address

39755 Murrieta Hot Springs Rd Ste D130
Murrieta, CA 92563-9110

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20110429000235 CA Practitioner - Optometry 9638354053 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lobue Laser and Eye Care Medical Center IncGroup PAC ID 3678462140, 5 clinicians

Practice addresses (Care Compare)

40700 California Oaks Rd
Suite 106
Murrieta, CA 92562-5789
Phone (951) 696-1135

Merit-based Incentive Payment System (MIPS)

Final score
88.64 of 100Reported as group
Quality
93.09
Improvement activities
40
Cost
71.36

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13930CAMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lobue Laser and Eye Care Medical Center Inc CurrentSince Feb 9, 2011 Accepting new patients

Locations

40700 California Oaks Rd
Ste 106
Murrieta, CA 92562
Phone (951) 696-1135

29950 Haun Rd
Ste 206
Sun City, CA 92586
Phone (951) 679-0545

40945 Winchester Rd
Temecula, CA 92591
Phone (951) 696-1135

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 1

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": "1281225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1281225600000",
    "number": "1548575111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39755 MURRIETA HOT SPRINGS RD STE D130",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925639110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40700 CALIFORNIA OAKS RD",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925625789",
            "telephone_number": "951-696-1135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANS",
        "first_name": "RYAN",
        "middle_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-08-08",
        "last_updated": "2010-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "13930",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murrieta, CA

Sources for this page

Verify at the official NPI Registry.