RYAN DAVID AMBROSE OD
NPI 1558711507
Optometrist in Avondale, AZ

Q: What is Ryan Ambrose's NPI number?

The NPI number for Ryan Ambrose is 1558711507. It was assigned to this individual provider in the NPPES registry on June 20, 2016.

Q: What is Ryan Ambrose's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Ryan Ambrose was last updated on June 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 June 20, 2016PECOS Enrolled

10750 W MCDOWELL RD, BLDG A100, AVONDALE, AZ 85392(623) 877-3007 Get Directions Write a Review

NPPES record last updated: June 26, 2024. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Jun 26, 2024, Jun 20, 2016 (2 updates tracked since 2016).

On this page

About Ryan David Ambrose Od NPPES

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

RYAN DAVID AMBROSE OD (NPI 1558711507) is an individual optometrist in Avondale, Arizona, licensed in Arizona (2112) and active in the NPI registry since June 2016. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1558711507

Entity TypeIndividualMale

Primary Taxonomy152W00000X

Provider Legal NameRYAN DAVID AMBROSECredential: OD

Location Address10750 W MCDOWELL RD, BLDG A100Avondale, AZ 85392-5960

Mailing Address6761 E Kelton LnScottsdale, AZ 85254-5645 · (262) 295-5154

Phone(623) 877-3007

Sole ProprietorYes

Enumeration DateJune 20, 2016

Last NPPES UpdateJune 26, 20242 updates tracked since enumeration

NPPES CertifiedJune 26, 2024

✔ NPI 1558711507 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 · 2112

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.

10750 W MCDOWELL RD, Avondale, AZ 85392

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Other Identifiers 1

Other2112AZ · Arizona Optometric Licensing Number

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ryan David Ambrose Od is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Ryan Ambrose reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Dr. Ryan Ambrose, PLLC

19 mi

Optometrist

3870 W HAPPY VALLEY RD STE 150
Glendale, AZ 85310

Reassigned Medicare billing, Arizona enrollment

NPI 1033954599 (623) 362-8642

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

35 services34 patients

Photography of the retina 92250

Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.

26 services26 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

26 services19 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85392 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 20

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

AVONDALE ENDODONTICS, PLC

Dentist (Endodontics)

10750 W MCDOWELL RD, SUITE A250
AVONDALE, AZ 85392

Maricopa County (623) 907-9400

MRS. PAULA JILL PURTEE RNP

Registered Nurse

10750 W MCDOWELL RD, SUITE G700
AVONDALE, AZ 85392

Maricopa County (623) 873-0321

DR. JEHYUN ANTHONY RYU D.D.S.

Dentist (General Practice)

10750 W MCDOWELL RD, BLDG.D410
AVONDALE, AZ 85392

Maricopa County (623) 474-2869

AKDHC, LLC

Internal Medicine (Nephrology)

10750 W MCDOWELL RD, STE F 600
AVONDALE, AZ 85392

Maricopa County (623) 547-4668

MACKENZIE SHEERIN BLACK O.D.

Optometrist

10750 W MCDOWELL RD, A100
AVONDALE, AZ 85392

Maricopa County (623) 877-3007

DR. LILIEN ANNA VOGL O.D.

Optometrist

10750 W MCDOWELL RD, BLDG A #100
AVONDALE, AZ 85392

Maricopa County (623) 877-3007

EKTA BAJAJ M.D.

Pediatrics

10750 W MCDOWELL RD
AVONDALE, AZ 85392

Maricopa County (623) 873-0321

AVONDALE NEIGHBORHOOD PHARMACY LLC

Pharmacy (Community/Retail Pharmacy)

10750 W MCDOWELL RD, BLDG. A STE. 110
AVONDALE, AZ 85392

Maricopa County (623) 932-9800

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ryan Ambrose's NPI number?

The NPI number for Ryan Ambrose is 1558711507. It was assigned to this individual provider in the NPPES registry on June 20, 2016.

Where is Ryan Ambrose located?

Ryan Ambrose practices at 10750 W Mcdowell Rd Bldg A100, Avondale, AZ 85392. The listed phone number is (623) 877-3007.

What is Ryan Ambrose's specialty?

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

Is Ryan Ambrose enrolled in Medicare?

Yes. Ryan Ambrose is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Ryan Ambrose's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ryan Ambrose reassigns Medicare benefits to Dr. Ryan Ambrose, PLLC (Glendale, AZ). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ryan Ambrose's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ryan Ambrose accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Oscar Health and 6 other insurers list Ryan Ambrose as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ryan Ambrose was last updated on June 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.