Active NPI
Ryan T. Reid, OD
- Optometrist
- Castle Rock, CO
National Provider Identifier
1609189471
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2795
- Practice address
- 3745 Dacoro LN Ste 100
Castle Rock, CO 80109-2514 - Phone
- (303) 660-6005
- NPI assigned
- Jul 21, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 4682 | FL | |
| Optometrist | 152W00000X | 2795 | CO | Primary |
Addresses
Primary practice location
3745 Dacoro LN Ste 100
Castle Rock, CO 80109-2514
Mailing address
3745 Dacoro LN Ste 100
Castle Rock, CO 80109-2514
Phone (303) 660-6005
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sowash Optometry Group, PC | Optometrist | Current | Accepting new patients |
| Sowash Optometry Group PC | Optometrist | Current | Accepting new patients |
Locations
545 S Broadway
Ste 500
Denver, CO 80209
Phone (720) 570-4338
4206 N Freeway Rd
Pueblo, CO 81008
Phone (719) 253-2538
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.
-
- Optometrist
- Lakewood, CO
- NPI 1336172055
-
- Optometrist
- Denver, CO
- NPI 1770648297
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1279670400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611878400000",
"number": "1609189471",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3745 DACORO LN STE 100",
"city": "CASTLE ROCK",
"state": "CO",
"postal_code": "801092514",
"telephone_number": "303-660-6005",
"fax_number": "303-660-6095"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3745 DACORO LN STE 100",
"city": "CASTLE ROCK",
"state": "CO",
"postal_code": "801092514",
"telephone_number": "303-660-6005"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REID",
"first_name": "RYAN",
"middle_name": "T.",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-07-21",
"last_updated": "2021-01-29",
"certification_date": "2021-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "FL",
"license": "4682",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CO",
"license": "2795",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Castle Rock, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2021; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.