Individual provider Active NPI

Ryan Garber

  • Optometrist
  • Salt Lake City, UT
National Provider Identifier
1811558554
Registry record updated Nov 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT-002463 Issued in AZ
Practice address
500 Foothill Dr Salt Lake City Ut 84148
Salt Lake City, UT 84148-0001
Phone
(801) 582-1565
NPI assigned
Jun 24, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 5, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Optometrist 152W00000X OPT-002463 AZ Primary

Addresses

Primary practice location

500 Foothill Dr Salt Lake City Ut 84148
Salt Lake City, UT 84148-0001

Mailing address

500 Foothill Dr Salt Lake City Ut 84148
Salt Lake City, UT 84148-0001
Phone (801) 582-1565

Other practice location 1

1626 N Litchfield Rd Ste 110
Goodyear, AZ 85395-1399
Phone (602) 955-1000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20201109003246 AZ Practitioner - Optometry 7911317631 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

4800 N 22ND St
Suite 120
Phoenix, AZ 85016-4962
Phone (602) 955-1000

Merit-based Incentive Payment System (MIPS)

Final score
83.86 of 100Reported as group
Quality
81.82
Promoting interoperability
100
Improvement activities
40
Cost
64.4

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Southwestern Eye Center, LTD Optometrist CurrentSince Nov 1, 2020 Accepting new patients
Barnet Dulaney Perkins Eye Center, PC CurrentSince Nov 1, 2020 Accepting new patients
Barnet Dulaney Perkins Eye Center, PC Ophthalmology CurrentSince Nov 1, 2020 Accepting new patients
Barnet Dulaney Perkins Eye Center, PC Ophthalmology Current Accepting new patients
Southwestern Eye Center LTD Ophthalmology CurrentSince Nov 1, 2020 Accepting new patients

Locations

3003 Highway 95
Ste 63
Bullhead City, AZ 86442
Phone (928) 763-7555

560 N Camino Mercado
Ste 1
Casa Grande, AZ 85122
Phone (520) 426-9224

855 S Dobson Rd
Ste 1
Chandler, AZ 85224

270 S Candy Ln
Cottonwood, AZ 86326
Phone (928) 634-4202

5285 W Bell Rd
Ste 110
Glendale, AZ 85308
Phone (602) 903-0922

1626 N Litchfield Rd
Ste 110
Goodyear, AZ 85395
Phone (817) 995-2500

1151 S La Canada Dr
Ste 200
Green Valley, AZ 85614
Phone (520) 625-8562

4760 E Falcon Dr
Ste 101
Mesa, AZ 85215
Phone (480) 985-7400

8435 E Baseline Rd
Ste 101
Mesa, AZ 85209
Phone (480) 373-0860

4800 N 22nd St
Ste 120
Phoenix, AZ 85016

4800 N 22nd St
Ste 210
Phoenix, AZ 85016
Phone (602) 598-7488

825 S 20th Ave
Safford, AZ 85546
Phone (928) 428-6930

4921 E Bell Rd
Ste 102
Scottsdale, AZ 85254
Phone (602) 548-6500

8763 E Bell Rd
Ste 106
Scottsdale, AZ 85260

3301 N Miller Rd
Ste 140
Scottsdale, AZ 85251
Phone (480) 945-8440

2370 W State Route 89A
Ste 16A17A18
Sedona, AZ 86336
Phone (928) 282-1231

14820 N Del Webb Blvd
Sun City, AZ 85351

10615 W Thunderbird Blvd
Ste A100
Sun City, AZ 85351
Phone (623) 977-9600

10615 W Thunderbird Blvd
Ste 100
Sun City, AZ 85351
Phone (623) 933-3024

13624 W Camino del Sol
Ste 200
Sun City West, AZ 85375
Phone (623) 546-6599

14239 W Bell Rd
Ste 216
Surprise, AZ 85374

698 E Wetmore Rd
Ste 100
Tucson, AZ 85705
Phone (520) 690-5707

5632 E 5th St
Tucson, AZ 85711
Phone (520) 584-8888

2149 W 24th St
Yuma, AZ 85364
Phone (928) 726-1100

Interoperability endpoints

  • Direct secure messaging: ryan.garber.p11@direct.avp.nextgenshare.com

Organizations & group practices 5

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": "1561334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604534400000",
    "number": "1811558554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 FOOTHILL DR SALT LAKE CITY UT 84148",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841480001",
            "telephone_number": "801-582-1565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 FOOTHILL DR SALT LAKE CITY UT 84148",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841480001",
            "telephone_number": "801-582-1565"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1626 N Litchfield Rd Ste 110",
            "address_purpose": "LOCATION",
            "city": "Goodyear",
            "state": "AZ",
            "postal_code": "853951399",
            "country_code": "US",
            "telephone_number": "602-955-1000",
            "fax_number": "602-508-4830",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GARBER",
        "first_name": "RYAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-06-24",
        "last_updated": "2020-11-05",
        "certification_date": "2020-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "OPT-002463",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

Verify at the official NPI Registry.