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ANDY RUAN
NPI 1679240618
Optometrist in New York, NY

Active since August 26, 2021PECOS Enrolled
1430 3RD AVE, NEW YORK, NY 10028(917) 432-5403 Get Directions Write a Review

NPPES record last updated: August 26, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Andy Ruan NPPES

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

ANDY RUAN (NPI 1679240618) is an individual optometrist in New York, New York, licensed in New York (009441) and active in the NPI registry since August 2021. He is enrolled in Medicare PECOS and is a graduate of Pennsylvania College Of Optometry (2021).

NPPES Registry Identity

NPI1679240618
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameANDY RUAN
Location Address1430 3RD AVENew York, NY 10028-1904
Mailing Address872 67th StBrooklyn, NY 11220-5706 · (646) 309-7264
Phone(917) 432-5403
Sole ProprietorNo
Medical School CMSPennsylvania College Of OptometryGraduated 2021
Enumeration DateAugust 26, 2021
NPPES CertifiedAugust 26, 2021
✔ NPI 1679240618 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 NY · 009441
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.
1430 3RD AVE, New York, NY 10028
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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 Louisiana, Blue Cross and Blue Shield of Montana 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)

Andy Ruan is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6406311422
PECOS Enrollment IDI20260721001879
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 Andy Ruan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Luxottica Of America Inc
557 mi
Optometrist
4000 LUXOTTICA PL, ATTN MEDICARE DEPT
Mason, OH 45040
  • Reassigned Medicare billing, New York enrollment
  • 64 clinicians in this Medicare group
NPI 1689711046 (513) 765-3534

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10028 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
$150.24 typical visit price
range $65.69 – $198.19
Typical copayment $37.56 (range $16.42 – $49.54)
Most-billed visit code 99204
Established Patient
$81.44 typical visit price
range $21.20 – $160.66
Typical copayment $20.36 (range $5.30 – $40.16)
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 5

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

NAVJOT BAINS OD
Optometrist
1430 3RD AVE
NEW YORK, NY 10028
New York County (917) 432-5403
LUBNA ABJANI O.D.
Optometrist
1430 3RD AVE
NEW YORK, NY 10028
New York County (917) 432-5405
ANUPAMA YENNAMANDRA O.D.
Optometrist
1430 3RD AVE
NEW YORK, NY 10028
New York County (917) 432-5403
DR. NADIA A KNOPP O.D.
Optometrist
1430 3RD AVE
NEW YORK, NY 10028
New York County (917) 432-5403
LUXOTTICA OF AMERICA INC.
Eyewear Supplier
1430 3RD AVE
NEW YORK, NY 10028
New York County (917) 432-5403

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 Andy Ruan's NPI number?

The NPI number for Andy Ruan is 1679240618. It was assigned to this individual provider in the NPPES registry on August 26, 2021.

Where is Andy Ruan located?

Andy Ruan practices at 1430 3rd Ave, New York, NY 10028. The listed phone number is (917) 432-5403.

What is Andy Ruan's specialty?

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

Is Andy Ruan enrolled in Medicare?

Yes. Andy Ruan is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Andy Ruan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Andy Ruan reassigns Medicare benefits to Luxottica Of America Inc (Mason, OH). 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 Andy Ruan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Andy Ruan accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 1 other insurer list Andy Ruan 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 Andy Ruan was last updated on August 26, 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.