Active NPI
Ryan J Brown, O.D.
- Optometrist
- Grand Rapids, MI
National Provider Identifier
1679802029
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 4901004539
- Practice address
- 3019 Coit Ave NE
Grand Rapids, MI 49505-3376 - Phone
- (616) 365-7780
- NPI assigned
- Dec 14, 2009
- Last updated
- Dec 14, 2009
- 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 | 4901004539 | MI | Primary |
Addresses
Primary practice location
3019 Coit Ave NE
Grand Rapids, MI 49505-3376
Mailing address
3019 Coit Ave NE
Grand Rapids, MI 49505-3376
Phone (616) 365-7780
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- 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
- Ferris State College - College of Optometry, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
525 W Hwy U S 2
Norway, MI 49870-1127
525 W US Hwy 2
Norway, MI 49870-1127
Phone (906) 563-5711
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 14 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Norway Eye Care P.C. | Optometrist | Current | Accepting new patients |
Locations
525 W US Highway 2
Norway, MI 49870
Phone (906) 563-5711
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1260748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1260748800000",
"number": "1679802029",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3019 COIT AVE NE",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495053376",
"telephone_number": "616-365-7780"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3019 COIT AVE NE",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495053376",
"telephone_number": "616-365-7780"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "RYAN",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-12-14",
"last_updated": "2009-12-14",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MI",
"license": "4901004539",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Grand Rapids, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 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.