Individual provider Active NPI

Ryan McGiffen, O.D.

  • Optometrist
  • Mt Washington, KY
National Provider Identifier
1962810531
Registry record updated Sep 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1959DT Issued in KY
Practice address
327 Eastbrooke Pointe Dr 100
Mount Washington, KY 40047-5561
Phone
(812) 890-1229
Fax
(502) 538-3551
NPI assigned
Jul 28, 2014
Last updated
Sep 10, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1959DT KY Primary

Addresses

Primary practice location

327 Eastbrooke Pointe Dr 100
Mount Washington, KY 40047-5561

Mailing address

327 Eastbrooke Pointe Dr 100
Mount Washington, KY 40047-5561
Phone (812) 890-1229

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20140909002109 KY Practitioner - Optometry 5193944981 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mooney Eyecare Centre, PLLCGroup PAC ID 9032205091, 6 clinicians

Practice addresses (Care Compare)

327 Eastbrooke Pointe Dr
Suite 100
Mt Washington, KY 40047-5577
Phone (502) 538-4362

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery25

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mooney Eyecare Centre, PLLC Optometrist CurrentSince Sep 8, 2015 Accepting new patients

Locations

215 Kentucky Home Sq
Bardstown, KY 40004
Phone (502) 538-4362

6287 Taylorsville Rd
Ste B1
Fisherville, KY 40023
Phone (502) 354-0508

327 Eastbrooke Pointe Dr
Ste 100
Mt Washington, KY 40047
Phone (502) 538-4362

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, 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": "1406505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441843200000",
    "number": "1962810531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "327 EASTBROOKE POINTE DR 100",
            "city": "MOUNT WASHINGTON",
            "state": "KY",
            "postal_code": "400475561",
            "telephone_number": "812-890-1229",
            "fax_number": "502-538-3551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "327 EASTBROOKE POINTE DR 100",
            "city": "MOUNT WASHINGTON",
            "state": "KY",
            "postal_code": "400475561",
            "telephone_number": "812-890-1229",
            "fax_number": "502-538-3551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGIFFEN",
        "first_name": "RYAN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-07-28",
        "last_updated": "2015-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KY",
            "license": "1959DT",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mt Washington, KY

Sources for this page

Verify at the official NPI Registry.