Individual provider Active NPI

Richard W Ireland, O.D.

  • Optometrist
  • Valparaiso, IN
National Provider Identifier
1790752525
Registry record updated Jun 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
18001856 Issued in IN
Practice address
2101 Burlington Beach Rd.
Valparaiso, IN 46383-0000
Phone
(219) 462-0309
Fax
(219) 464-4291
NPI assigned
Mar 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 18001856 IN Primary

Addresses

Primary practice location

2101 Burlington Beach Rd.
Valparaiso, IN 46383-0000

Mailing address

2101 Burlington Beach Rd.
Valparaiso, IN 46383-0000
Phone (219) 462-0309

Other identifiers 1

IdentifierTypeStateIssuer
100359850BMedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20100113000522 IN Practitioner - Optometry 3971644972 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2101 Burlington Beach Rd
Valparaiso, IN 46383-1665
Phone (219) 462-0309

Merit-based Incentive Payment System (MIPS)

Final score
71.74 of 100Reported as group
Quality
96.85
Improvement activities
40
Cost
10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
18001856INMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Indiana Eye Associates, PC Optometrist CurrentSince Aug 7, 1991 Accepting new patients
Northwest Indiana Eye Associates, PC Optometrist CurrentSince Aug 7, 1991 Accepting new patients
Northwest Indiana Eye Associates, PC Optometrist Past Accepting new patients

Locations

297 W Franciscan Dr
Ste 101
Crown Point, IN 46307
Phone (219) 662-0999

2101 Burlington Beach Rd
Valparaiso, IN 46383
Phone (219) 462-0309

Interoperability endpoints

  • Direct secure messaging: rireland@ltfeyeclinics.direct.eyemdemr.com

Organizations & group practices 3

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": "1141171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749427200000",
    "number": "1790752525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 BURLINGTON BEACH RD.",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463830000",
            "telephone_number": "219-462-0309",
            "fax_number": "219-464-4291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 BURLINGTON BEACH RD.",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463830000",
            "telephone_number": "219-462-0309",
            "fax_number": "219-464-4291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IRELAND",
        "first_name": "RICHARD",
        "middle_name": "W",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-01",
        "last_updated": "2025-06-09",
        "certification_date": "2025-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18001856",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100359850B",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Valparaiso, IN

Sources for this page

Verify at the official NPI Registry.