Individual provider Active NPI

Ryan W Winters, OD

  • Optometrist
  • Queensbury, NY
National Provider Identifier
1598702185
Registry record updated Apr 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV006683 Issued in NY
Practice address
357 Bay Rd Ste 6
Queensbury, NY 12804-3051
Phone
(518) 792-3304
Fax
(518) 792-3307
NPI assigned
Jun 1, 2006
Last updated
Apr 22, 2009By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 22, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TUV006683 NY Primary

Addresses

Primary practice location

357 Bay Rd Ste 6
Queensbury, NY 12804-3051

Mailing address

357 Bay Rd Ste 6
Queensbury, NY 12804-3051
Phone (518) 792-3304

Other identifiers 1

IdentifierTypeStateIssuer
1598702185OtherNYRAILROAD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20040819001482 NY Practitioner - Optometry 1052385713 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Glens Falls Optometry PCGroup PAC ID 7214081686, 2 clinicians

Practice addresses (Care Compare)

357 Bay Rd
Suite 6
Queensbury, NY 12804-3051
Phone (518) 792-3304

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TUV006683NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Winters Eyecare Optometrist Current Accepting new patients
O'Leary Chiropractic, PLLC Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1149120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1240358400000",
    "number": "1598702185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "357 BAY RD STE 6",
            "city": "QUEENSBURY",
            "state": "NY",
            "postal_code": "128043051",
            "telephone_number": "518-792-3304",
            "fax_number": "518-792-3307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "357 BAY RD STE 6",
            "city": "QUEENSBURY",
            "state": "NY",
            "postal_code": "128043051",
            "telephone_number": "518-792-3304",
            "fax_number": "518-792-3307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINTERS",
        "first_name": "RYAN",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-01",
        "last_updated": "2009-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV006683",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD",
            "identifier": "1598702185",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Queensbury, NY

Sources for this page

Verify at the official NPI Registry.