Individual provider Active NPI

Ryan Michael Trimble, O.D.

  • Optometrist
  • Unionville, CT
National Provider Identifier
1932185303
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
002674 Issued in CT
Practice address
9 School St # B1
Unionville, CT 06085-1018
Phone
(860) 255-7691
Fax
(860) 321-7380
NPI assigned
Dec 19, 2005
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 002674 CT Primary

Addresses

Primary practice location

9 School St # B1
Unionville, CT 06085-1018

Mailing address

9 School St # B1
Unionville, CT 06085-1018
Phone (860) 255-7691

Other identifiers 3

IdentifierTypeStateIssuer
38387OtherCTCT CONTROLLED SUBSTANCE
004251899MedicaidCT
D400006963OtherCTMEDICARE ID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20050913000963 CT Practitioner - Optometry 0749213593 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Union Eye Works LLCGroup PAC ID 3577718402, 2 clinicians

Practice addresses (Care Compare)

9 School St
B1
Unionville, CT 06085-1018
Phone (860) 255-7694

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
002674CTMDPsychologist
2674CTMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Trimble Vision Services, LLC Optometrist CurrentSince Aug 8, 2009 Accepting new patients
Union Eye Works LLC Optometrist CurrentSince Jun 18, 2012 Accepting new patients
Doctors on Sight, Optometrists, Inc. Optometrist PastSince May 5, 2009 Accepting new patients

Locations

85 Seymour St
Hartford, CT 06106
Phone (860) 246-4029

85 Seymour St
Ste 115
Hartford, CT 06106

9 School St
#B1
Unionville, CT 06085
Phone (860) 255-7691

Organizations & group practices 3

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": "1134950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1932185303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 SCHOOL ST # B1",
            "city": "UNIONVILLE",
            "state": "CT",
            "postal_code": "060851018",
            "telephone_number": "860-255-7691",
            "fax_number": "860-321-7380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 SCHOOL ST # B1",
            "city": "UNIONVILLE",
            "state": "CT",
            "postal_code": "060851018",
            "telephone_number": "860-255-7691",
            "fax_number": "860-321-7380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRIMBLE",
        "first_name": "RYAN",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-19",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CT",
            "license": "002674",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CT CONTROLLED SUBSTANCE",
            "identifier": "38387",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004251899",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "D400006963",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Unionville, CT

Sources for this page

Verify at the official NPI Registry.