Individual provider Active NPI

Ryan Beck, O.D.

  • Optometrist
  • Boca Raton, FL
National Provider Identifier
1649654369
Registry record updated Jul 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC 005054 Issued in FL
Practice address
21126 Saint Andrews Blvd
Boca Raton, FL 33433-2404
Phone
(561) 221-6636
NPI assigned
Jul 13, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 13, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC 005054 FL Primary

Addresses

Primary practice location

21126 Saint Andrews Blvd
Boca Raton, FL 33433-2404

Mailing address

1640 E Sunrise Blvd
2405
Ft Lauderdale, FL 33304-2397
Phone (561) 445-7983

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20160411002147 FL Practitioner - Optometry 1850699620 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aaron J Evans OD PAGroup PAC ID 5193853505, 11 clinicians

Practice addresses (Care Compare)

333 Plaza Real
Boca Raton, FL 33432-3938
Phone (561) 392-8383

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPC 005054FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Aaron J. Evans O.D. P.a. Optometrist CurrentSince Mar 9, 2016 Accepting new patients

Locations

5030 Champion Blvd
Ste C2A
Boca Raton, FL 33496
Phone (561) 912-0800

21334 Saint Andrews Blvd
Boca Raton, FL 33433
Phone (561) 576-2654

333 Plaza Real
Boca Raton, FL 33432
Phone (561) 392-8383

1200 S Rogers Cir
Ste 16
Boca Raton, FL 33487

2344 N University Dr
Coral Springs, FL 33065
Phone (954) 344-3937

14917 Lyons Rd
Ste 108
Delray Beach, FL 33446
Phone (561) 501-5346

302 E Atlantic Ave
Ste 1B
Delray Beach, FL 33483
Phone (561) 279-4444

1705 S Federal Hwy
Ste A8
Delray Beach, FL 33483
Phone (561) 274-0672

15332 NW 79th Ct
Miami Lakes, FL 33016
Phone (305) 821-0304

Organizations & group practices 1

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": "1436745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436745600000",
    "number": "1649654369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1640 E SUNRISE BLVD",
            "address_2": "2405",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333042397",
            "telephone_number": "561-445-7983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21126 SAINT ANDREWS BLVD",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334332404",
            "telephone_number": "561-221-6636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BECK",
        "first_name": "RYAN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-07-13",
        "last_updated": "2015-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC 005054",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

Verify at the official NPI Registry.