Active NPI
Ryann Matthew Donaldson, OD
- Optometrist
- Katy, TX
National Provider Identifier
1720152051
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- TX5390TG
- Practice address
- 1534 S Grand Parkway
Katy, TX 77494 - Phone
- (281) 693-3937
- Fax
- (281) 693-2832
- NPI assigned
- Nov 20, 2006
- Last updated
- Mar 1, 2011
- 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 | TX5390TG | TX | Primary |
Addresses
Primary practice location
1534 S Grand Parkway
Katy, TX 77494
Mailing address
1534 S Grand Parkway
Katy, TX 77494
Phone (281) 693-3937
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TX5390TG | TX | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Med Southwest, PLLC | Optometrist | Current | Accepting new patients |
| Med Southwest, PLLC | Optometrist | Current | Accepting new patients |
| Med Southwest, PLLC | Optometrist | Current | Accepting new patients |
Locations
1534 W Grand Pkwy S
Katy, TX 77494
Phone (281) 693-3937
2703 Richmond Rd
Texarkana, TX 75503
Phone (903) 838-0783
8614 Westwood Center Dr
Fl 9
Vienna, VA 22182
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Optometrist
- Oklahoma City, OK
- NPI 1679440762
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163980800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1298937600000",
"number": "1720152051",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1534 S GRAND PARKWAY",
"city": "KATY",
"state": "TX",
"postal_code": "77494",
"telephone_number": "281-693-3937",
"fax_number": "281-693-2832"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1534 S GRAND PARKWAY",
"city": "KATY",
"state": "TX",
"postal_code": "77494",
"telephone_number": "281-693-3937",
"fax_number": "281-693-2832"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DONALDSON",
"first_name": "RYANN",
"middle_name": "MATTHEW",
"name_prefix": "Mr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-20",
"last_updated": "2011-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "TX",
"license": "TX5390TG",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Katy, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2011; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.