Individual provider Active NPI

Kyle Ryff, O.D.

  • Optometrist
  • Tempe, AZ
National Provider Identifier
1790193597
Registry record updated Sep 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2057 Issued in AZ
Practice address
1920 E Baseline Rd
Tempe, AZ 85283-1511
Phone
(800) 233-3264
Fax
(480) 345-5266
NPI assigned
Jul 25, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 16, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2057 AZ Primary

Addresses

Primary practice location

1920 E Baseline Rd
Tempe, AZ 85283-1511

Mailing address

1920 E Baseline Rd
Tempe, AZ 85283-1511
Phone (800) 233-3264

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, OK, AZ3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20140924002026 TX Practitioner - Optometry 5991924979 Reassigns benefits to 1 organization
I20141020002754 OK Practitioner - Optometry 5991924979 Reassigns benefits to 1 organization
I20151003000147 AZ Practitioner - Optometry 5991924979 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
East Valley Ophthalmology LTDGroup PAC ID 7911986989, 7 clinicians

Practice addresses (Care Compare)

5620 E Broadway Rd
Mesa, AZ 85206-1438
Phone (480) 981-6111

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2827OKMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Cherokee Nation CurrentSince Aug 4, 2014 Accepting new patients
Northeastern State University College of Optometry Optometrist CurrentSince Aug 3, 2014 Accepting new patients
Cherokee Nation Current Accepting new patients
Cherokee Nation Current Accepting new patients
Cigna Health Care of Arizona Inc. Current Accepting new patients
Cigna Healthcare of Arizona, Inc. CurrentSince Mar 21, 2017 Accepting new patients
East Valley Ophthalmology, LTD CurrentSince Jan 15, 2024 Accepting new patients
Cherokee Nation CurrentSince Aug 4, 2014 Accepting new patients
Cigna Healthcare of Arizona, Inc. CurrentSince Mar 21, 2017 Accepting new patients
Cigna Health Care of Arizona Inc. Current Accepting new patients

Locations

1717 W Chandler Blvd
Chandler, AZ 85224
Phone (480) 281-7565

5891 W Eugie Ave
Glendale, AZ 85304
Phone (602) 588-6600

5620 E Broadway Rd
Mesa, AZ 85206
Phone (480) 981-6111

1840 S Stapley Dr
Ste 101
Mesa, AZ 85204
Phone (480) 464-8500

2302 N 75th Ave
Phoenix, AZ 85035
Phone (623) 849-7500

3805 E Bell Rd
Ste 2100
Phoenix, AZ 85032
Phone (602) 404-5200

1300 N 12th St
Ste 404
Phoenix, AZ 85006
Phone (602) 839-7000

8888 E Raintree Dr
Fl 3
Scottsdale, AZ 85260

13041 N Del Webb Blvd
Sun City, AZ 85351
Phone (623) 977-7201

13991 W Grand Ave
Ste 105
Surprise, AZ 85374
Phone (623) 455-7800

1920 E Baseline Rd
Tempe, AZ 85283
Phone (480) 345-5000

501 E 5th St
Bartlesville, OK 74003
Phone (918) 336-0823

859 E Melton Dr
Jay, OK 74346
Phone (918) 253-4271

1001 S 41st St E
#3
Muskogee, OK 74403
Phone (918) 687-0201

1020 Lenape Dr
Nowata, OK 74048
Phone (918) 273-0192

900 N Owen Walters Blvd
Salina, OK 74365
Phone (918) 434-8500

870 E Crafton St
Tahlequah, OK 74464
Phone (918) 444-4000

1001 N Grand Ave
Tahlequah, OK 74464
Phone (918) 456-5511

100 S Bliss Ave
Tahlequah, OK 74464
Phone (918) 458-3100

Dept 2269
Tulsa, OK 74182

27371 S 4410 Rd
Vinita, OK 74301
Phone (918) 256-4800

Organizations & group practices 10

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": "1406246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663286400000",
    "number": "1790193597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1920 E BASELINE RD",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852831511",
            "telephone_number": "800-233-3264",
            "fax_number": "480-345-5266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1920 E BASELINE RD",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852831511",
            "telephone_number": "800-233-3264",
            "fax_number": "480-345-5266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYFF",
        "first_name": "KYLE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-07-25",
        "last_updated": "2022-09-16",
        "certification_date": "2022-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "2057",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tempe, AZ

Sources for this page

Verify at the official NPI Registry.