Individual provider Active NPI

Ryan E Snipes, OD

  • Optometrist
  • Randleman, NC
National Provider Identifier
1992867402
Registry record updated Feb 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1839 Issued in NC
Practice address
200 W Academy St
Randleman, NC 27317-1504
Phone
(336) 337-1298
NPI assigned
Dec 14, 2006
Last updated
Feb 24, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1839 NC Primary

Addresses

Primary practice location

200 W Academy St
Randleman, NC 27317-1504

Mailing address

200 W Academy St
Randleman, NC 27317-1504
Phone (336) 337-1298

Other practice location 1

128 N Park St
Asheboro, NC 27203-5440
Phone (336) 628-4353

Other identifiers 7

IdentifierTypeStateIssuer
B5322OtherNCMEDCOST
093HWOtherNCBLUE CROSS BLUE SHIELD
FH7000055OtherNCFIRST HEALTH
30624OtherNCOPTICARE
410034018OtherNCRRMC
0853510001OtherNCCIGNA GOVERNMENT SERVICES MEDICARE PART B DME
89093HWMedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, VA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040707000581 NC Practitioner - Optometry 7618954645 Reassigns benefits to 3 organizations
I20260128000776 VA Practitioner - Optometry 7618954645 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Triad Eye Associates OD PAGroup PAC ID 8426010513, 6 clinicians
Wilcox Optometry PLLCGroup PAC ID 9234533092, 8 clinicians

Practice addresses (Care Compare)

10564 N Main St
Suite E
Archdale, NC 27263-2483
Phone (336) 434-4033

800 Tiffany Blvd
Suite 101
Rocky Mount, NC 27804-1807
Phone 50224424205415

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Eyecarecenter OD PA Optometrist CurrentSince Jan 7, 2020 Accepting new patients
Eyecarecenter, O.D., P.a. Optometrist CurrentSince Jan 7, 2020 Accepting new patients
Wilcox Optometry PLLC Optometrist CurrentSince Oct 29, 2024 Accepting new patients
Eyecarecenter OD PA Optometrist Current Accepting new patients
360Care Optometry of Virginia LLC Optometrist CurrentSince Dec 20, 2025 Accepting new patients
Triad Eye Associates OD PA Optometrist CurrentSince Jan 1, 2025 Accepting new patients
Triad Eye Associates of High Point OD PA Optometrist PastSince Jan 1, 2025 Accepting new patients
Stinson Mobile Aud NC PLLC Past Accepting new patients

Locations

12910 Shelbyville Rd
Ste 300
Louisville, KY 40243
Phone (502) 214-0693

10564 N Main St
Ste E
Archdale, NC 27263
Phone (336) 434-4033

128 N Park St
Asheboro, NC 27203
Phone (336) 521-4624

327 Hillsborough St
Raleigh, NC 27603

200 W Academy St
Randleman, NC 27317
Phone (336) 337-1298

800 Tiffany Blvd
Ste 101
Rocky Mount, NC 27804

819 Tiffany Blvd
Rocky Mount, NC 27804
Phone (252) 972-2020

100 Shockoe Slip
Fl 2
Richmond, VA 23219
Phone (888) 364-2334

1111 E Main St
Richmond, VA 23219
Phone (804) 648-0900

Interoperability endpoints

  • Direct secure messaging: ryan.snipes@uprisedirect.com
  • Direct secure messaging: ryansnipes@direct.eyecare-partners.com

Organizations & group practices 9

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": "1166054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582502400000",
    "number": "1992867402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 W ACADEMY ST",
            "city": "RANDLEMAN",
            "state": "NC",
            "postal_code": "273171504",
            "telephone_number": "336-337-1298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 W ACADEMY ST",
            "city": "RANDLEMAN",
            "state": "NC",
            "postal_code": "273171504",
            "telephone_number": "336-337-1298"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "128 N Park St",
            "address_purpose": "LOCATION",
            "city": "Asheboro",
            "state": "NC",
            "postal_code": "272035440",
            "country_code": "US",
            "telephone_number": "336-628-4353",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SNIPES",
        "first_name": "RYAN",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-14",
        "last_updated": "2020-02-24",
        "certification_date": "2020-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "1839",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDCOST",
            "identifier": "B5322",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "093HW",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST HEALTH",
            "identifier": "FH7000055",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTICARE",
            "identifier": "30624",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RRMC",
            "identifier": "410034018",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA GOVERNMENT SERVICES MEDICARE PART B DME",
            "identifier": "0853510001",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89093HW",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Randleman, NC

Sources for this page

Verify at the official NPI Registry.