Richard J Choryan

Primary specialty

OptometristTaxonomy code 152W00000X

License

4901002687 Issued in MI

Practice address

803 W State St
Hastings, MI 49058-1660

Phone

(269) 945-9724

Fax

(269) 945-9727

NPI assigned

Jul 18, 2006

Last updated

Apr 6, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Wyoming Family Vision Care LLC

  dba Wyoming Family Vision Care

  • Optometrist
  • Wyoming, MI
  • NPI 1730583972
  NPD (past)

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617667200000",
    "number": "1881612620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 OLD GALLOWS RD STE 520",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221823970",
            "telephone_number": "703-847-8899",
            "fax_number": "571-223-6780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "803 W STATE ST",
            "city": "HASTINGS",
            "state": "MI",
            "postal_code": "490581660",
            "telephone_number": "269-945-9724",
            "fax_number": "269-945-9727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHORYAN",
        "first_name": "RICHARD",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2021-04-06",
        "certification_date": "2021-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901002687",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRIORITY HEALTH",
            "identifier": "900001357",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "RC002687",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kathy C. Chase, CCC-A
• Kylee Jean Cheeseman
• Cherry Street Services Inc (Barry Community Health Center)
• Cherry Street Services Inc (Barry Communtiy Health Center - Dental)
• Cherry Street Services, Inc (Barry Community Health Center)
• City of Hastings (Hastings Fire Department)
• Devin Clark
• Sarah Michelle Clark
• Teresa Coenen
• Destiny Ann Collins

• Optometrist in Hastings, MI
• Providers in Hastings, MI by specialty
• Optometrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.