Individual provider Active NPI

Ryan Earl Robison, O.D.

  • Optometrist
  • St George, UT
National Provider Identifier
1679686547
Registry record updated Nov 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5679342-9934 Issued in UT
Practice address
965 E 700 S
Suite #100
St George, UT 84790-4082
Phone
(435) 673-5577
Fax
(435) 688-0381
NPI assigned
Aug 16, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 7, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 5679342-9934 UT Primary

Addresses

Primary practice location

965 E 700 S
Suite #100
St George, UT 84790-4082

Mailing address

965 E 700 S
Suite #100
St George, UT 84790-4084
Phone (435) 673-5577

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
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
I20041229000873 UT Practitioner - Optometry 5092773523 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific Medical College, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Paul R Gooch OD and Associates PCGroup PAC ID 5799843488, 3 clinicians

Practice addresses (Care Compare)

965 E 700
Suite 100
St George, UT 84790-4084
Phone (435) 673-5577

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery28

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5679342-9934UTMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Paul R Gooch OD & Associates, PC Optometrist CurrentSince Jan 1, 2007 Accepting new patients
Dixie Eye Care PC Optometrist PastSince Oct 1, 2001 Accepting new patients
Shane R Jensen Optometrist Past Accepting new patients

Locations

965 E 700 S
Ste 100
St George, UT 84790
Phone (435) 673-5577

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": "1155686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352246400000",
    "number": "1679686547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "965 E 700 S",
            "address_2": "SUITE #100",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847904084",
            "telephone_number": "435-673-5577",
            "fax_number": "435-688-0381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "965 E 700 S",
            "address_2": "SUITE #100",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847904082",
            "telephone_number": "435-673-5577",
            "fax_number": "435-688-0381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBISON",
        "first_name": "RYAN",
        "middle_name": "EARL",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-16",
        "last_updated": "2012-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "UT",
            "license": "5679342-9934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St George, UT

Sources for this page

Verify at the official NPI Registry.