Ryan William Cowburn, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OEG000276 Issued in PA

Practice address

2121 Shelly Dr
Indiana, PA 15701-2395

Phone

(724) 349-1237

Fax

(724) 465-0127

NPI assigned

Jul 30, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

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

Specialty

Optometry

Education

Pennsylvania College of Optometry, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Todd Michael Keppich, O.D.

  • Optometrist
  • Indiana, PA
  • NPI 1922089101
  Medicare reassignment

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.

• Cowburn and Keppich LLC

  • Optometrist
  • Vandergrift, PA
  • NPI 1275925349
  Medicare reassignment NPD Authorized official
• Joseph J. Raglani, O.D.

  • Eyewear Supplier
  • Vandergrift, PA
  • NPI 1902084718
  NPD (past)
• Strohecker Vision Care, Inc

  • Optometrist
  • Mansfield, PA
  • NPI 1831132158
  NPD (past)
• Strohecker Vision Care, Inc

  • Optometrist
  • Elkland, PA
  • NPI 1972549012
  NPD (past)

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

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248998400000",
    "number": "1669487252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2121 SHELLY DR",
            "city": "INDIANA",
            "state": "PA",
            "postal_code": "157012395",
            "telephone_number": "724-349-1237",
            "fax_number": "724-465-0127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 SHELLY DR",
            "city": "INDIANA",
            "state": "PA",
            "postal_code": "157012395",
            "telephone_number": "724-349-1237",
            "fax_number": "724-465-0127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COWBURN",
        "first_name": "RYAN",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-30",
        "last_updated": "2009-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG000276",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001923214",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bernard L. Coppolo Jr., M.D.
• Cosm Rehab
• Counseling Wellness of Indiana County, LLC
• County of Indiana
• Kacey Beth Cowburn, SLP
• Brittany Nicole Cowfer, PA-C
• Deverin Cowher, MT
• Katlyn Jo Coy
• Megan Nicole Coyne
• Michele Craig, DMD

• Optometrist in Indiana, PA
• Providers in Indiana, PA by specialty
• Optometrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2009; 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.

Verify at the official NPI Registry.