Active NPI
Ryker Lane Meyer
- Optometrist
- Pocatello, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 7171668
- Practice address
- 4013 Yellowstone Ave Ste D
Pocatello, ID 83202-1984 - Phone
- (208) 417-1500
- NPI assigned
- May 27, 2025
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 7171668 | ID | Primary |
Addresses
Primary practice location
4013 Yellowstone Ave Ste D
Pocatello, ID 83202-1984
Mailing address
263 Ballard Rd
Pocatello, ID 83202-7007
Phone (208) 996-9479
Other practice location 1
2990 S 25th E
Idaho Falls, ID 83404-6515
Phone (208) 535-2604
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- University of Pikeville, Kentucky College of Osteopathic Med, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2990 S 25TH
Idaho Falls, ID 83404-6515
Phone (833) 776-2020
4013 Yellowstone Ave
Suite D
Chubbuck, ID 83202-1984
Phone (208) 297-7019
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 12 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Idaho Eye Pros Idaho Falls LLC | Optometrist | Current | Accepting new patients |
| LWK, P.C. | Optometrist | Current | Accepting new patients |
Locations
291 N Milwaukee St
Ste A3
Boise, ID 83704
Phone (208) 297-7019
3485 N Cole Rd
Unit 45479
Boise, ID 83711
2990 S 25th E
Idaho Falls, ID 83404
Phone (208) 535-2600
4013 Yellowstone Ave
Ste D
Pocatello, ID 83202
Phone (208) 297-7019
Organizations & group practices 2
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": "1748304000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1748304000000",
"number": "1649063298",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "263 BALLARD RD",
"city": "POCATELLO",
"state": "ID",
"postal_code": "832027007",
"telephone_number": "208-996-9479"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4013 YELLOWSTONE AVE STE D",
"city": "POCATELLO",
"state": "ID",
"postal_code": "832021984",
"telephone_number": "208-417-1500"
}
],
"practiceLocations": [
{
"address_1": "2990 S 25th E",
"address_purpose": "LOCATION",
"city": "Idaho Falls",
"state": "ID",
"postal_code": "834046515",
"country_code": "US",
"telephone_number": "208-535-2604",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MEYER",
"first_name": "RYKER",
"middle_name": "LANE",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-05-27",
"last_updated": "2025-05-27",
"certification_date": "2025-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "ID",
"license": "7171668",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pocatello, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2025; 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.