Individual provider Active NPI

Ryan Scott Stybel, O.D.

  • Optometrist
  • Los Angeles, CA
National Provider Identifier
1811145451
Registry record updated Jan 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
13641 Issued in CA
Practice address
7629 Melrose Ave
Los Angeles, CA 90046-7419
Phone
(248) 212-5120
NPI assigned
Sep 8, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 26, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 13641 CA Primary

Addresses

Primary practice location

7629 Melrose Ave
Los Angeles, CA 90046-7419

Mailing address

7629 Melrose Ave
Los Angeles, CA 90046-7419
Phone (248) 212-5120

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20160816001767 CA Practitioner - Optometry 6709057870

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 2008
Medicare assignment
May accept Medicare assignment
Group practices
Ryan Stybel OD IncGroup PAC ID 5092014357, 6 clinicians

Practice addresses (Care Compare)

940 N Fairfax Ave
West Hollywood, CA 90046-7204
Phone (323) 651-5646

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13641CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Ryan Stybel Optometry Inc CurrentSince Nov 23, 2015 Accepting new patients
Look Optometry Inc Optometrist CurrentSince Jun 13, 2023 Accepting new patients

Locations

451 Manhattan Beach Blvd
Ste D120
Manhattan Beach, CA 90266
Phone (310) 796-5665

Organizations & group practices 2

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": "1220832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453766400000",
    "number": "1811145451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7629 MELROSE AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900467419",
            "telephone_number": "248-212-5120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7629 MELROSE AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900467419",
            "telephone_number": "248-212-5120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STYBEL",
        "first_name": "RYAN",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-09-08",
        "last_updated": "2016-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "13641",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.