Individual provider Active NPI

Ryan Alan Berger, O.D.

  • Optometrist
  • Cedar Rapids, IA
National Provider Identifier
1720468044
Registry record updated Jun 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
077857 Issued in IA
Practice address
4207 Glass Rd NE
Cedar Rapids, IA 52402-2538
Phone
(319) 366-4455
Fax
(319) 362-8461
NPI assigned
Jun 2, 2015
Last updated
Jun 2, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 077857 IA Primary

Addresses

Primary practice location

4207 Glass Rd NE
Cedar Rapids, IA 52402-2538

Mailing address

4207 Glass Rd NE
Cedar Rapids, IA 52402-2538
Phone (319) 366-4455

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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
I20151026001729 IA Practitioner - Optometry 6204145675 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
DRS Heying and Heying PCGroup PAC ID 0749254092, 5 clinicians

Practice addresses (Care Compare)

4207 Glass Rd NE
Cedar Rapids Eye Care
Cedar Rapids, IA 52402-2514
Phone (316) 366-4455

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery18

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
077857IAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
DRS Heying and Heying PC Optometrist CurrentSince Sep 16, 2015 Accepting new patients
Bradley C Parsons OD PC Optometrist CurrentSince Mar 18, 2017 Accepting new patients

Locations

2315 Edgewood Rd SW
Unit 110
Cedar Rapids, IA 52404
Phone (319) 390-4144

4207 Glass Rd NE
Cedar Rapids, IA 52402
Phone (316) 366-4455

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": "1433203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433203200000",
    "number": "1720468044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4207 GLASS RD NE",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524022538",
            "telephone_number": "319-366-4455",
            "fax_number": "319-362-8461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4207 GLASS RD NE",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524022538",
            "telephone_number": "319-366-4455",
            "fax_number": "319-362-8461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERGER",
        "first_name": "RYAN",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-02",
        "last_updated": "2015-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IA",
            "license": "077857",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Rapids, IA

Sources for this page

Verify at the official NPI Registry.