Individual provider Active NPI

Ryan Millyard, O.D.

  • Optometrist
  • Heath, OH
National Provider Identifier
1730537101
Registry record updated May 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
6483 Issued in OH
Practice address
604 S 30TH St
Heath, OH 43056-1204
Phone
(740) 522-8444
NPI assigned
May 26, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 26, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 6483 OH Primary

Addresses

Primary practice location

604 S 30TH St
Heath, OH 43056-1204

Mailing address

604 S 30TH St
Heath, OH 43056-1204
Phone (740) 522-8444

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20160624001719 OH Practitioner - Optometry 0042501892 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ohio State University - College of Optometry, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Indian Mound Eye Clinic IncGroup PAC ID 1759315625, 4 clinicians

Practice addresses (Care Compare)

604 S 30TH St
Heath, OH 43056-1204
Phone (740) 522-8444

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Indian Mound Eye Clinic Inc Optometrist CurrentSince Jul 1, 2016 Accepting new patients
Eye Surgery Consultants Inc. PastSince Jul 1, 2016 Accepting new patients

Locations

604 S 30th St
Heath, OH 43056
Phone (614) 522-8444

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1464220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464220800000",
    "number": "1730537101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "604 S 30TH ST",
            "city": "HEATH",
            "state": "OH",
            "postal_code": "430561204",
            "telephone_number": "740-522-8444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "604 S 30TH ST",
            "city": "HEATH",
            "state": "OH",
            "postal_code": "430561204",
            "telephone_number": "740-522-8444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLYARD",
        "first_name": "RYAN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-05-26",
        "last_updated": "2016-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "6483",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Heath, OH

Sources for this page

Verify at the official NPI Registry.