Individual provider Active NPI

Ryan R Gady, O.D.

  • Optometrist
  • Carmel, IN
National Provider Identifier
1831448224
Registry record updated May 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
18003865B Issued in IN
Practice address
1950 E Greyhound Pass Ste 2
Carmel, IN 46033-7788
Phone
(317) 569-0860
NPI assigned
Aug 31, 2012
Last updated
May 26, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 26, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4998 MA
Optometrist 152W00000X 3033 TN
Optometrist 152W00000X 18003865B IN Primary

Addresses

Primary practice location

1950 E Greyhound Pass Ste 2
Carmel, IN 46033-7788

Mailing address

10676 Trailwood Dr
Fishers, IN 46038-6504
Phone (574) 835-3326

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
I20141111001533 IN Practitioner - Optometry 9638320450 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2894 E 3Rd St
Suite 155 Visionworks Doctors of Optometry
Bloomington, IN 47401-5498
Phone (812) 336-2702

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
18003865BINMDOptometrist
3033TNMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
First Impressions Optometric Associates, LLC Optometrist CurrentSince Feb 6, 2022 Accepting new patients
Eye Specialists of Indiana, PC Optometrist CurrentSince Sep 1, 2014 Accepting new patients
Eye Specialist of Indiana, P.C. Optometrist CurrentSince Sep 1, 2014 Accepting new patients
First Impressions Optometric Associates, LLC Optometrist CurrentSince Feb 6, 2022 Accepting new patients

Locations

2894 E 3rd St
Ste 155
Bloomington, IN 47401
Phone (812) 336-2702

1950 E Greyhound Pass
Ste 2
Carmel, IN 46033
Phone (317) 569-0860

1030 Veterans Pkwy
Clarksville, IN 47129
Phone (812) 282-2020

1828 N Meridian St
Ste 123
Indianapolis, IN 46202
Phone (317) 925-2200

1901 N Meridian St
Indianapolis, IN 46202
Phone (317) 925-2200

3530 S Keystone Ave
Indianapolis, IN 46227
Phone (317) 925-2200

2141 Sagamore Pkwy S
Lafayette, IN 47905
Phone (765) 446-8010

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, 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": "1346371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590451200000",
    "number": "1831448224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10676 TRAILWOOD DR",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460386504",
            "telephone_number": "574-835-3326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1950 E GREYHOUND PASS STE 2",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460337788",
            "telephone_number": "317-569-0860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GADY",
        "first_name": "RYAN",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-08-31",
        "last_updated": "2020-05-26",
        "certification_date": "2020-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "4998",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "3033",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18003865B",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carmel, IN

Sources for this page

Verify at the official NPI Registry.