Individual provider Active NPI

Ryan P Lempp, OD

  • Optometrist
  • Council Bluffs, IA
National Provider Identifier
1619932720
Registry record updated Nov 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1225 Issued in NE
Practice address
1601 Ave D
Council Bluffs, IA 51501-2559
Phone
(712) 323-5213
NPI assigned
Apr 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2007

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1225 NE Primary
Corneal and Contact Management Optometrist 152WC0802X 2293 IA
Pediatric Optometrist 152WP0200X 2293 IA

Addresses

Primary practice location

1601 Ave D
Council Bluffs, IA 51501-2559

Mailing address

11507 S 42ND St # 109
Bellevue, NE 68123-6006
Phone (402) 964-2700

Other identifiers 2

IdentifierTypeStateIssuer
0441659MedicaidIA
279351MedicaidNE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE, IA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20050819000835 NE Practitioner - Optometry 0840220836 Reassigns benefits to 1 organization
I20120119000808 IA Practitioner - Optometry 0840220836 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Missouri St Louis - School of Optometry, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Eyecare Center, Inc.Group PAC ID 8628968294, 3 clinicians

Practice addresses (Care Compare)

11513 S 42ND St
Suite 100
Bellevue, NE 68123-1004
Phone (402) 964-2700

1601 Ave D
Council Bluffs, IA 51501-2510
Phone (712) 323-5213

Merit-based Incentive Payment System (MIPS)

Final score
97 of 100Reported as group
Quality
94
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1225NEMDProfessional Counselor
2293IAMDPediatric Optometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Bellevue Family Eyecare Center PC Optometrist CurrentSince Sep 21, 2005 Accepting new patients
Acuity Vision Care, P.C. Optometrist Past Accepting new patients

Locations

11513 S 42nd St
Ste 100
Bellevue, NE 68123
Phone (402) 292-0396

11507 S 42nd St
Ste 109
Bellevue, NE 68123
Phone (402) 734-4106

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.

NPI Registry JSON

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

{
    "created_epoch": "1145491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194566400000",
    "number": "1619932720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11507 S 42ND ST # 109",
            "city": "BELLEVUE",
            "state": "NE",
            "postal_code": "681236006",
            "telephone_number": "402-964-2700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 AVE D",
            "city": "COUNCIL BLUFFS",
            "state": "IA",
            "postal_code": "515012559",
            "telephone_number": "712-323-5213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEMPP",
        "first_name": "RYAN",
        "middle_name": "P",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-20",
        "last_updated": "2007-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NE",
            "license": "1225",
            "primary": true
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "IA",
            "license": "2293",
            "primary": false
        },
        {
            "code": "152WP0200X",
            "taxonomy_group": "",
            "desc": "Optometrist, Pediatrics",
            "state": "IA",
            "license": "2293",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0441659",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "279351",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Council Bluffs, IA

Sources for this page

Verify at the official NPI Registry.