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RIDGWAY EYECARE CENTER P C
NPI 1689725111
Optometrist in Evansville, IN

Active since January 12, 2007CLIA 15D2122127 · Waiver
562 S GREEN RIVER RD, EVANSVILLE, IN 47715(812) 479-5208(812) 471-0486 Get Directions Write a Review

NPPES record last updated: December 4, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ridgway Eyecare Center P C NPPES

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

RIDGWAY EYECARE CENTER P C (NPI 1689725111) is a healthcare organization registered as an optometrist in Evansville, Indiana and active in the NPI registry since January 2007. The organization holds a CLIA Waiver certificate valid through November 20, 2026 and lists Darrell W Pratt, President, as its authorized official.

NPPES Registry Identity

NPI1689725111
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameRIDGWAY EYECARE CENTER P C
Location Address562 S GREEN RIVER RDEvansville, IN 47715-7308
Mailing Address562 S Green River RdEvansville, IN 47715-7308 · (812) 479-5208 · Fax (812) 471-0486
Phone(812) 479-5208
Fax(812) 471-0486
Organization SubpartNo
Authorized OfficialDarrell W PrattPresident · (812) 479-5208
Enumeration DateJanuary 12, 2007
Last NPPES UpdateDecember 4, 2014
✔ NPI 1689725111 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
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.
562 S GREEN RIVER RD, Evansville, IN 47715
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Other Identifiers 1

Medicare NSC0471610001IN

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 15D2122127

Ridgway Eyecare Center · Evansville, IN
Active · expires Nov 20, 2026
CLIA Number15D2122127
Laboratory TypePhysician Office
Certificate Effective DateNovember 21, 2024
Certificate Expiration DateNovember 20, 2026
Laboratory DirectorAdam J. Russ
Laboratory Phone(812) 479-5208
Laboratory LocationRidgway Eyecare Center562 S Green River Rd, Evansville, IN 47715
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Medical Equipment Supplier Medicare DMEPOS 3

Medicare supplier enrollment and the product categories Ridgway Eyecare Center PC carries, from the Medicare DMEPOS supplier directory.

Ridgway Eyecare Center PC

DMEPOS supplier · Evansville, IN
✔

Accepts Medicare assignment

Ridgway Eyecare Center PC agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20673089
Medicare Participant SinceAugust 5, 1991
Supplier Location562 S Green River RdEvansville, IN 47715
Phone(812) 479-5208
Supplier Specialties
Optometrist Optician

Medicare Product Categories

Prosthetic Lenses: Conventional Eyeglasses
Conventional Eyeglasses
Prosthetic Lenses: Conventional Contact Lenses
Conventional Contact Lenses
Prosthetic Lenses: Prosthetics Cataract Lenses
Cataract Eyeglasses
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES 3

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

ADAM JOHN RUSS O.D.
Optometrist
562 S GREEN RIVER RD
EVANSVILLE, IN 47715
Vanderburgh County (812) 479-5208
ADAM J RUSS OD LLC
Optometrist
562 S GREEN RIVER RD
EVANSVILLE, IN 47715
Vanderburgh County (812) 479-5208
DR. DARRELL W PRATT O.D.
Optometrist
562 S GREEN RIVER RD
EVANSVILLE, IN 47715
Vanderburgh County (812) 479-5208

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 Ridgway Eyecare Center P C's NPI number?

The NPI number for Ridgway Eyecare Center P C is 1689725111. It was assigned to this organization in the NPPES registry on January 12, 2007.

Where is Ridgway Eyecare Center P C located?

Ridgway Eyecare Center P C is located at 562 S Green River Rd, Evansville, IN 47715. The listed phone number is (812) 479-5208.

What is Ridgway Eyecare Center P C's specialty?

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

Does Ridgway Eyecare Center P C accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Ridgway Eyecare Center PC accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

Does Ridgway Eyecare Center P C hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 15D2122127) is associated with this NPI, valid through November 20, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Ridgway Eyecare Center P C accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Cross Blue Shield of Wyoming and Blue Cross and Blue Shield of Louisiana and 1 other insurer list Ridgway Eyecare Center P C 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 Ridgway Eyecare Center P C was last updated on December 4, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.