Organization Active NPI

Ryan Stybel OD Inc.

  • Optometrist
  • West Hollywood, CA
National Provider Identifier
1972950830
Registry record updated Apr 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT13641TLG Issued in CA
Legal business name
RYAN STYBEL OD INC.
Practice address
940 N. Fairfax Ave.
West Hollywood, CA 90046
Phone
(323) 651-5646
Fax
(323) 651-1426
NPI assigned
May 20, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2023

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

Authorized official

Name
Leah Gatti
Title
Billing Manager
Phone
(323) 651-5646

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X OPT13641TLG CA Primary

Addresses

Primary practice location

940 N. Fairfax Ave.
West Hollywood, CA 90046

Mailing address

7629 Melrose Ave
Los Angeles, CA 90046-7419
Phone (323) 651-5646

Other names 1

  • Positive Eye Ons Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2261760Ryan Stybel, OD Inc940 N Fairfax Ave, West Hollywood, CA 90046Certificate of waiverJun 5, 2028

National Provider Directory

National Provider Directory

Locations

7629 Melrose Ave
Los Angeles, CA 90046
Phone (323) 401-0661

451 Manhattan Beach Blvd
Manhattan Beach, CA 90266
Phone (310) 545-4440

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1463702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682467200000",
    "number": "1972950830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7629 MELROSE AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900467419",
            "telephone_number": "323-651-5646",
            "fax_number": "323-651-1426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "940 N. FAIRFAX AVE.",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "90046",
            "telephone_number": "323-651-5646",
            "fax_number": "323-651-1426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RYAN STYBEL OD INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-20",
        "last_updated": "2023-04-26",
        "certification_date": "2023-04-18",
        "status": "A",
        "authorized_official_last_name": "GATTI",
        "authorized_official_first_name": "LEAH",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "323-651-5646"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT13641TLG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Positive Eye Ons",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Positive Eye Ons",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in West Hollywood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.