Individual provider Active NPI

Ryan Michael Beyer, OD

  • Optometrist
  • Scottsbluff, NE
National Provider Identifier
1790730158
Registry record updated Apr 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1567 Issued in NE
Practice address
416 Valley View Dr Ste 100
Scottsbluff, NE 69361-1444
Phone
(308) 635-1633
Fax
(308) 365-2880
NPI assigned
May 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1567 NE Primary
Optometrist 152W00000X 2011 NC

Addresses

Primary practice location

416 Valley View Dr Ste 100
Scottsbluff, NE 69361-1444

Mailing address

3607 Road 99
Sidney, NE 69162-3218
Phone (919) 314-7845

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, NE2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20060628000314 NC Practitioner - Optometry 0244242675 Reassigns benefits to 1 organization
I20230321001521 NE Practitioner - Optometry 0244242675 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bluffs Vision Care, PCGroup PAC ID 3274509344, 2 clinicians

Practice addresses (Care Compare)

416 Valley View Dr
Suite 100
Scottsbluff, NE 69361-1444
Phone (308) 635-1633

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery17

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2011NCMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Clark Optometric Center PA Optometrist CurrentSince Jul 25, 2015 Accepting new patients
Family Eyecare of Apex OD, PA Optometrist Past Accepting new patients
Brier Creek Vision Care, PA PastSince Mar 1, 2009 Accepting new patients

Locations

3460 Ten Ten Rd
Ste 112
Cary, NC 27518
Phone (919) 367-5555

1398 Kildaire Farm Rd
Cary, NC 27511
Phone (919) 467-3237

1398 Kildaire Farm Rd
Ste 100
Cary, NC 27511
Phone (919) 467-3238

2216 E NC Highway 54
Durham, NC 27713
Phone (919) 544-2020

1829 Doctors Dr
Sanford, NC 27330
Phone (919) 776-2032

Interoperability endpoints

  • Direct secure messaging: ryan.beyer@direct.revolutionehr.com

Organizations & group practices 4

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": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680480000000",
    "number": "1790730158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3607 ROAD 99",
            "city": "SIDNEY",
            "state": "NE",
            "postal_code": "691623218",
            "telephone_number": "919-314-7845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "416 VALLEY VIEW DR STE 100",
            "city": "SCOTTSBLUFF",
            "state": "NE",
            "postal_code": "693611444",
            "telephone_number": "308-635-1633",
            "fax_number": "308-365-2880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEYER",
        "first_name": "RYAN",
        "middle_name": "MICHAEL",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-24",
        "last_updated": "2023-04-03",
        "certification_date": "2023-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NE",
            "license": "1567",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "2011",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsbluff, NE

Sources for this page

Verify at the official NPI Registry.