Individual provider Active NPI

Ryan D Simmonds, O.D.

  • Optometrist
  • Newton, KS
National Provider Identifier
1750348702
Registry record updated Nov 6, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1583 Issued in KS
Practice address
216 N Meridian Rd
Newton, KS 67114-5119
Phone
(316) 283-1310
Fax
(316) 283-1864
NPI assigned
Apr 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1583 KS Primary

Addresses

Primary practice location

216 N Meridian Rd
Newton, KS 67114-5119

Mailing address

216 N Meridian Rd
P.O. Box 765
Newton, KS 67114-5119
Phone (316) 283-1310

Other identifiers 1

IdentifierTypeStateIssuer
410043174OtherKSRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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
I20100902001017 KS Practitioner - Optometry 0345318978 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
DRS.McKinney and Simmonds,Optometrists, LLCGroup PAC ID 2961393038, 2 clinicians

Practice addresses (Care Compare)

216 N Meridian Rd
Suite a
Newton, KS 67114-5119
Phone (316) 283-1310

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery21

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1583KSMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
DRS.Simmonds & Schaller, Optometrists, LLC Optometrist CurrentSince Aug 1, 2000 Accepting new patients

Locations

216 N Meridian Rd
Newton, KS 67114
Phone (316) 283-1310

216 N Meridian Rd
Ste 1A
Newton, KS 67114

216 N Meridian Rd
Ste A
Newton, KS 67114
Phone (316) 283-1310

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1146009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194307200000",
    "number": "1750348702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 N MERIDIAN RD",
            "address_2": "P.O. BOX 765",
            "city": "NEWTON",
            "state": "KS",
            "postal_code": "671145119",
            "telephone_number": "316-283-1310",
            "fax_number": "316-283-1864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 N MERIDIAN RD",
            "city": "NEWTON",
            "state": "KS",
            "postal_code": "671145119",
            "telephone_number": "316-283-1310",
            "fax_number": "316-283-1864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMMONDS",
        "first_name": "RYAN",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-26",
        "last_updated": "2007-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KS",
            "license": "1583",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "410043174",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newton, KS

Sources for this page

Verify at the official NPI Registry.