DR. JOSEPH VINCENT RYAN OD
NPI 1104947431
Optometrist in Phoenix, AZ

Q: What is Joseph Ryan's NPI number?

The NPI number for Joseph Ryan is 1104947431. It was assigned to this individual provider in the NPPES registry on April 3, 2007.

Q: What is Joseph Ryan's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Q: Is Joseph Ryan enrolled in Medicare?

No. Joseph Ryan has opted out of Medicare through July 2, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Joseph Ryan was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 03, 2007Opted out of Medicare · through Jul 2, 2027

4502 E OAK ST, AT COSTCO, PHOENIX, AZ 85008(602) 508-1689 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Joseph Vincent Ryan Od NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JOSEPH VINCENT RYAN OD (NPI 1104947431) is an individual optometrist in Phoenix, Arizona, licensed in Arizona (701) and active in the NPI registry since April 2007. He has opted out of Medicare through July 2, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1104947431

Entity TypeIndividualMale

Primary Taxonomy152W00000X

Provider Legal NameDR. JOSEPH VINCENT RYANCredential: OD

Location Address4502 E OAK ST, AT COSTCOPhoenix, AZ 85008-2411

Mailing Address3073 E Park AveGilbert, AZ 85234-6362 · (602) 508-1689 · Fax (602) 952-7117

Phone(602) 508-1689

Sole ProprietorNo

Enumeration DateApril 3, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1104947431 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

License✔ Licensed in AZ · 701

Definition

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

4502 E OAK ST, Phoenix, AZ 85008

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Other Identifiers 2

Other60110Pin

Medicare UPINT76904

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Joseph Vincent Ryan Od has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 2, 2015 through July 2, 2027.

Opt-Out Effective DateJuly 2, 2015

Opt-Out In Effect ThroughJuly 2, 2027Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85008 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$127.71 typical visit price

range $55.44 – $168.60

Typical copayment $31.92 (range $13.86 – $42.15)

Most-billed visit code 99204

Established Patient

$69.24 typical visit price

range $17.72 – $137.41

Typical copayment $17.31 (range $4.43 – $34.35)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

COSTCO WHOLESALE CORPORATION

Hearing Aid Equipment