Individual provider Active NPI

Ryan Marasigan Ferreras, O.D.

  • Optometrist
  • Shakopee, MN
National Provider Identifier
1962598060
Registry record updated Dec 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2962 Issued in MN
Practice address
1593 17TH Ave E
Suite 107
Shakopee, MN 55379-4427
Phone
(651) 229-4174
Fax
(651) 229-4108
NPI assigned
Oct 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2962 MN Primary

Addresses

Primary practice location

1593 17TH Ave E
Suite 107
Shakopee, MN 55379-4427

Mailing address

1593 17TH Ave E
Suite 107
Shakopee, MN 55379-4427
Phone (651) 229-4174

Other names 1

  • Francisco Ryan Marasigan Ferreras Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2962MNMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
America'S Best Contacts & Eyeglasses Past Accepting new patients

Organizations & group practices 1

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": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291248000000",
    "number": "1962598060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1593 17TH AVE E",
            "address_2": "SUITE 107",
            "city": "SHAKOPEE",
            "state": "MN",
            "postal_code": "553794427",
            "telephone_number": "651-229-4174",
            "fax_number": "651-229-4108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1593 17TH AVE E",
            "address_2": "SUITE 107",
            "city": "SHAKOPEE",
            "state": "MN",
            "postal_code": "553794427",
            "telephone_number": "651-229-4174",
            "fax_number": "651-229-4108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERRERAS",
        "first_name": "RYAN",
        "middle_name": "MARASIGAN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-05",
        "last_updated": "2010-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MN",
            "license": "2962",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "FRANCISCO RYAN",
            "last_name": "FERRERAS",
            "middle_name": "MARASIGAN",
            "credential": "O.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Shakopee, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2010; 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.