Individual provider Active NPI

Ryan Michael Carr, OD

  • Optometrist
  • Sanford, ME
National Provider Identifier
1689168189
Registry record updated Jul 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
998 Issued in ME
Practice address
272 Cottage St
Sanford, ME 04073-1815
Phone
(207) 324-8888
Fax
(207) 490-1716
NPI assigned
Jun 18, 2018
Last updated
Jul 16, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Optometrist 152W00000X 998 ME Primary

Addresses

Primary practice location

272 Cottage St
Sanford, ME 04073-1815

Mailing address

272 Cottage St
Sanford, ME 04073-1815
Phone (207) 324-8888

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Ryan.Carr@direct.revolutionehr.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME
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
I20180827003200 ME Practitioner - Optometry 4284983099 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Associated Eye Care, P.a.Group PAC ID 7012951775, 10 clinicians

Practice addresses (Care Compare)

272 Cottage St
Sanford, ME 04073-1815
Phone (207) 324-8888

Merit-based Incentive Payment System (MIPS)

Final score
85.82 of 100Reported as group
Quality
71.65
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery13

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
998MEMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Associated Eye Care, P.a. Optometrist CurrentSince Jun 25, 2019 Accepting new patients
Maine Optometry PA Optometrist CurrentSince Jul 17, 2018 Accepting new patients

Locations

82 Maine St
Brunswick, ME 04011

1 Dunkin Run
Unit 3
East Waterboro, ME 04030
Phone (207) 247-3005

14 Vista Dr
Ste 200
Gorham, ME 04038

347 Main St
Ste D
Gorham, ME 04038
Phone (207) 839-2638

65 Portland Rd
Kennebunk, ME 04043
Phone (207) 985-6181

272 Cottage St
Sanford, ME 04073
Phone (207) 324-7946

Interoperability endpoints

  • Direct secure messaging: ryan.carr@direct.revolutionehr.com

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, 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": "1529280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594857600000",
    "number": "1689168189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "272 COTTAGE ST",
            "city": "SANFORD",
            "state": "ME",
            "postal_code": "040731815",
            "telephone_number": "207-324-8888",
            "fax_number": "207-490-1716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "272 COTTAGE ST",
            "city": "SANFORD",
            "state": "ME",
            "postal_code": "040731815",
            "telephone_number": "207-324-8888",
            "fax_number": "207-490-1716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARR",
        "first_name": "RYAN",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-18",
        "last_updated": "2020-07-16",
        "certification_date": "2020-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "ME",
            "license": "998",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Ryan.Carr@direct.revolutionehr.com",
            "affiliation": "N",
            "endpointDescription": "Secure Email Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "272 Cottage St",
            "city": "Sanford",
            "state": "ME",
            "country_code": "US",
            "postal_code": "040731815",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Sanford, ME

Sources for this page

Verify at the official NPI Registry.