Individual provider Active NPI

Robert A Ryan, O.D.

  • Optometrist
  • Rochester, NY
National Provider Identifier
1851398630
Registry record updated Jul 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
VUT005025-1 Issued in NY
Practice address
169 Rue de VL
Rochester, NY 14618-5619
Phone
(585) 271-2990
Fax
(585) 271-6321
NPI assigned
Jul 7, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 5025 NY
Optometrist 152W00000X VUT005025-1 NY Primary

Addresses

Primary practice location

169 Rue de VL
Rochester, NY 14618-5619

Mailing address

169 Rue de VL
Rochester, NY 14618-5619
Phone (585) 271-2990

Other identifiers 1

IdentifierTypeStateIssuer
01594870MedicaidNY

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address rryan16314@direct.urmc.rochester.edu Direct
Direct Messaging Address rryan16314@direct.urmc.rochester.edu Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20110808000003 NY Practitioner - Optometry 2466498969 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Strong Eye CareGroup PAC ID 0941194815, 38 clinicians

Practice addresses (Care Compare)

1701 Lac de Ville Blvd
Rochester, NY 14618-5630
Phone (585) 271-2990

601 Elmwood Ave
Rochester, NY 14642-0001

601 Elmwood Ave Box
Rochester, NY 14642-0001
Phone (585) 273-3937

875 Hard Rd
Suite 200
Webster, NY 14580-8949
Phone (585) 273-3937

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5025NYMDOptometrist
VUT005025-1NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Strong Eye Care CurrentSince Oct 1, 2014 Accepting new patients
Depaolis&Ryan Past Accepting new patients

Locations

601 Elmwood Ave
Rochester, NY 14642
Phone (585) 275-9555

601 Elmwood Ave
#659
Rochester, NY 14642
Phone (585) 275-0378

1701 Lac de Ville Blvd
Rochester, NY 14618
Phone (585) 271-2990

875 Hard Rd
Ste 200
Webster, NY 14580
Phone (585) 276-8608

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688515200000",
    "number": "1851398630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "169 RUE DE VL",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146185619",
            "telephone_number": "585-271-2990",
            "fax_number": "585-271-6321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "169 RUE DE VL",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146185619",
            "telephone_number": "585-271-2990",
            "fax_number": "585-271-6321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYAN",
        "first_name": "ROBERT",
        "middle_name": "A",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-07",
        "last_updated": "2023-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "5025",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "VUT005025-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01594870",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rryan16314@direct.urmc.rochester.edu",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "OTHER",
            "address_1": "601 Elmwood Ave",
            "city": "Rochester",
            "state": "NY",
            "country_code": "US",
            "postal_code": "146420001",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rryan16314@direct.urmc.rochester.edu",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "OTHER",
            "address_1": "601 Elmwood Ave",
            "city": "Rochester",
            "state": "NY",
            "country_code": "US",
            "postal_code": "146420001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.