Ryan Fernandez, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

56 007166 Issued in NY

Practice address

50 W 34TH St
Apt# 14B2
New York, NY 10001-3097

Phone

(909) 720-3374

NPI assigned

Jul 20, 2007

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1184889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184889600000",
    "number": "1962602748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 WEST 34TH STREET",
            "address_2": "APT# 14B2",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100013068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 W 34TH ST",
            "address_2": "APT# 14B2",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100013097",
            "telephone_number": "909-720-3374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNANDEZ",
        "first_name": "RYAN",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-20",
        "last_updated": "2007-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "56 007166",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Priscilla J Fernandez
• Rafael Arturo Fernandez
• Rebecca Ann Fernandez, MA, RD, CDN, CDE
• Rita Anne Fernandez, RDN
• Ruth Ann Fernandez, DC, CCSP
• Samantha Michelle Fernandez
• Sandra Fernandez, LMSW
• Sara Fernandez, AGACNP
• Stephanie Fernandez
• Sujel Fernandez, RN

• Optometrist in New York, NY
• Providers in New York, NY by specialty
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2007; 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.