Individual provider Active NPI

Julieta Zutel Ryder, M.D.

  • Ophthalmology Physician
  • Tarpon Springs, FL
National Provider Identifier
1811284748
Registry record updated Sep 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
ME155880 Issued in FL
Practice address
43309 US Highway 19 N
Tarpon Springs, FL 34689-6221
Phone
(727) 938-2020
Fax
(727) 938-5606
NPI assigned
Jun 29, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmic Plastic and Reconstructive Surgery Physician 207WX0200X ME155880 FL
Ophthalmology Physician 207W00000X ME155880 FL Primary

Addresses

Primary practice location

43309 US Highway 19 N
Tarpon Springs, FL 34689-6221

Mailing address

43309 US Highway 19 N
Tarpon Springs, FL 34689-6221
Phone (727) 938-2020

Other practice location 1

1050 Old Camp Rd Ste 230
The Villages, FL 32162-1762
Phone (352) 350-8484

Other identifiers 2

IdentifierTypeStateIssuer
115086700MedicaidFL
06GQGOtherFLBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220718002816 FL Practitioner - Ophthalmology 8022325828 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Clvlnd Clinic Lerner College of Med of Case WSTN RSV University, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1247 Lakeland Hills Blvd
Lakeland, FL 33805-4673
Phone (863) 688-5604

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME155880FLMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lakeland Eye Clinic PA Ophthalmology Current Accepting new patients
The Eye Physicians of Pinellas, PA Ophthalmology CurrentSince Mar 3, 2023 Accepting new patients
The Eye Physicians of Pinellas, PA CurrentSince Mar 3, 2023 Accepting new patients
The Eye Physicians of Pinellas, PA Past Accepting new patients

Locations

4708 S Florida Ave
Lakeland, FL 33813
Phone (863) 644-6455

1243 Lakeland Hills Blvd
Lakeland, FL 33805
Phone (863) 262-3111

1247 Lakeland Hills Blvd
Lakeland, FL 33805
Phone (863) 688-5604

148 13th St SW
Largo, FL 33770
Phone (727) 450-3030

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: julieta.ryder.p1@direct.stlukeseye.nextgenshare.com
  • Direct secure messaging: jryder@laec.intellechartdirect.net
  • Direct secure messaging: jryder37165@ehrdirect.uhhospitals.org

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": "1309305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662595200000",
    "number": "1811284748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43309 US HIGHWAY 19 N",
            "city": "TARPON SPRINGS",
            "state": "FL",
            "postal_code": "346896221",
            "telephone_number": "727-938-2020",
            "fax_number": "727-938-5606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43309 US HIGHWAY 19 N",
            "city": "TARPON SPRINGS",
            "state": "FL",
            "postal_code": "346896221",
            "telephone_number": "727-938-2020",
            "fax_number": "727-938-5606"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1050 Old Camp Rd Ste 230",
            "address_purpose": "LOCATION",
            "city": "The Villages",
            "state": "FL",
            "postal_code": "321621762",
            "country_code": "US",
            "telephone_number": "352-350-8484",
            "fax_number": "352-751-9850",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RYDER",
        "first_name": "JULIETA",
        "middle_name": "ZUTEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-29",
        "last_updated": "2022-09-08",
        "certification_date": "2022-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207WX0200X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery",
            "state": "FL",
            "license": "ME155880",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME155880",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "115086700",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "06GQG",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tarpon Springs, FL

Sources for this page

Verify at the official NPI Registry.