Individual provider Active NPI

Ryan Wooldridge, OD

  • Optometrist
  • Westminster, CO
National Provider Identifier
1801457213
Registry record updated Dec 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT.0003497 Issued in CO
Practice address
14676 Delaware St Unit 400
Westminster, CO 80023-9184
Phone
(720) 405-2020
NPI assigned
Jun 26, 2019
Last updated
Dec 21, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 21, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT.0003497 CO Primary

Addresses

Primary practice location

14676 Delaware St Unit 400
Westminster, CO 80023-9184

Mailing address

1950 Old Gallows Rd Ste 520
Vienna, VA 22182-3970
Phone (703) 847-8899

Other practice location 1

18801 E Hampden Ave Ste 176
Aurora, CO 80013-3587
Phone (303) 690-6510

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20190820002901 CO Practitioner - Optometry 6709114374 Reassigns benefits to 1 organization
Practice locations: Westminster, CO

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Myeyedr Optometry of Colorado PCGroup PAC ID 7113359415, 58 clinicians

Practice addresses (Care Compare)

18801 E Hampden Ave
Suite 176
Aurora, CO 80013-3587
Phone (303) 690-6510

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT.0003497COMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Myeyedr Optometry of Colorado PC Optometrist CurrentSince Dec 14, 2020 Accepting new patients
Myeyedr Optometry of Colorado PC Optometrist Current Accepting new patients
Myeyedr Optometry of Colorado PC Optometrist CurrentSince Dec 14, 2020 Accepting new patients

Locations

1550 S Potomac St
Ste 155
Aurora, CO 80012
Phone (303) 369-1020

18801 E Hampden Ave
Ste 176
Aurora, CO 80013
Phone (303) 690-6510

1645 28th St
Boulder, CO 80301
Phone (303) 443-4545

3301 30th St
Boulder, CO 80301
Phone (303) 443-4311

6881 S Yosemite St
Centennial, CO 80112
Phone (303) 393-8378

2867 35th Ave
Greeley, CO 80634
Phone (970) 346-1411

200 W County Line Rd
Ste 150
Highlands Ranch, CO 80129
Phone (303) 794-2433

10521 S Parker Rd
Parker, CO 80134
Phone (303) 841-8243

1950 Old Gallows Rd
Ste 520
Vienna, VA 22182

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1561507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608508800000",
    "number": "1801457213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 OLD GALLOWS RD STE 520",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221823970",
            "telephone_number": "703-847-8899",
            "fax_number": "571-223-6780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14676 DELAWARE ST UNIT 400",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "800239184",
            "telephone_number": "720-405-2020"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18801 E Hampden Ave Ste 176",
            "address_purpose": "LOCATION",
            "city": "Aurora",
            "state": "CO",
            "postal_code": "800133587",
            "country_code": "US",
            "telephone_number": "303-690-6510",
            "fax_number": "303-690-6620",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOOLDRIDGE",
        "first_name": "RYAN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-06-26",
        "last_updated": "2020-12-21",
        "certification_date": "2020-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "OPT.0003497",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westminster, CO

Sources for this page

Verify at the official NPI Registry.