DR. RYAN EDWARDS O.D.
NPI 1639593908
Optometrist - Vision Therapy in Aurora, IL

Q: What is Ryan Edwards's NPI number?

The NPI number for Ryan Edwards is 1639593908. It was assigned to this individual provider in the NPPES registry on February 7, 2014.

Q: What is Ryan Edwards's specialty?

The primary specialty registered for this NPI is Optometrist, specializing in Vision Therapy, with taxonomy code 152WV0400X.

Q: When was this NPI record last updated?

The NPPES record for Ryan Edwards was last updated on March 16, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 February 07, 2014PECOS Enrolled

3965 75TH ST # 105, AURORA, IL 60504(815) 260-6884 Get Directions Write a Review

NPPES record last updated: March 16, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 16, 2021, Feb 3, 2016 (2 updates tracked since 2016).

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About Dr. Ryan Edwards O.d. NPPES

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

DR. RYAN EDWARDS O.D. (NPI 1639593908) is an individual vision therapy provider in Aurora, Illinois, licensed in Illinois (046010924) and active in the NPI registry since February 2014. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1639593908

Entity TypeIndividualMale

Primary Taxonomy152WV0400X

Provider Legal NameDR. RYAN EDWARDSCredential: O.D.

Location Address3965 75TH ST # 105Aurora, IL 60504-7925

Mailing Address3965 75th St # 105Aurora, IL 60504-7925 · (815) 260-6884

Phone(815) 260-6884

Sole ProprietorNo

Enumeration DateFebruary 7, 2014

Last NPPES UpdateMarch 16, 20212 updates tracked since enumeration

NPPES CertifiedMarch 16, 2021

✔ NPI 1639593908 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOptometrist · Vision TherapyEye and Vision Services Providers

Taxonomy Code152WV0400X

License✔ Licensed in IL · 046010924

Definition

Optometrists who specialize in vision therapy as a treatment process used to improve vision function. It includes a broad range of developmental and rehabilitative treatment programs individually prescribed to remediate specific sensory, motor and/or visual perceptual dysfunctions.

Also ListedOptometristTaxonomy 152W00000X · License 4901004791 (MI)

3965 75TH ST # 105, Aurora, IL 60504

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Ryan Edwards O.d. 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.

Areas of Expertise CMS Part B claims

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.

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60504 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

$137.43 typical visit price

range $59.81 – $181.38

Typical copayment $34.35 (range $14.95 – $45.34)

Most-billed visit code 99204

Established Patient

$74.38 typical visit price

range $19.15 – $147.12

Typical copayment $18.59 (range $4.78 – $36.78)

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

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

DIRECT MOBILE VISION, PLLC

Optometrist

3965 75TH ST # 105
AURORA, IL 60504

Dupage County (815) 260-6884

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 Edwards's NPI number?

The NPI number for Ryan Edwards is 1639593908. It was assigned to this individual provider in the NPPES registry on February 7, 2014.

Where is Ryan Edwards located?

Ryan Edwards practices at 3965 75th St # 105, Aurora, IL 60504. The listed phone number is (815) 260-6884.

What is Ryan Edwards's specialty?

The primary specialty registered for this NPI is Optometrist, specializing in Vision Therapy, with taxonomy code 152WV0400X.

Is Ryan Edwards enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Ryan Edwards was last updated on March 16, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.