Douglas Robert Ricks, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OD60171104 Issued in WA

Practice address

2310 Longfibre Ave
Union Gap, WA 98903-1513

Phone

(509) 454-5253

Fax

(509) 454-5254

NPI assigned

Sep 16, 2010

Last updated

Apr 15, 2012By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

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

Pennsylvania College of Optometry, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Family Vision Care of Yakima PCGroup PAC ID 3072510817, 3 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Family Vision Care of Yakima PC

  dba Family Vision Care PS

  • Optometrist
  • Yakima, WA
  • NPI 1558463208
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1284595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334448000000",
    "number": "1578871265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1907 WELLINGTON DR",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989031131",
            "telephone_number": "509-966-1517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2310 LONGFIBRE AVE",
            "city": "UNION GAP",
            "state": "WA",
            "postal_code": "989031513",
            "telephone_number": "509-454-5253",
            "fax_number": "509-454-5254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICKS",
        "first_name": "DOUGLAS",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-09-16",
        "last_updated": "2012-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "OD60171104",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Matthea Perlman, CNP
• Prest Op LLC (Arcadia Healthcare Parkside)
• Jessica Renee Ramynke, LPN
• Renal Treatment Centers West Inc (Union Gap Dialysis)
• John Erik Richardson I, PHARMD
• Stephen Ezra Robertson, PHARM.D.
• Benjamin R Rodriguez, MMS, PA-C
• Mandy J Rodriguez, LICSW
• Christopher Michael Rood, DNP, FNP-BC
• Ryan Coyle OD PS (Coyle Vision)

• Optometrist in Union Gap, WA
• Providers in Union Gap, WA by specialty
• Optometrist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2012; 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.