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DR. COREY DOUGLAS RYAN OD
NPI 1699669291
Optometrist in Watertown, NY

Active since June 06, 2025PECOS EnrolledAccepts Medicare Assignment
53 PUBLIC SQ, WATERTOWN, NY 13601(315) 681-6379 Get Directions Write a Review

NPPES record last updated: March 11, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 11, 2026, Jan 23, 2026, Jun 6, 2025 (3 updates tracked since 2025).

About Dr. Corey Douglas Ryan Od NPPES

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

DR. COREY DOUGLAS RYAN OD (NPI 1699669291) is an individual optometrist in Watertown, New York, licensed in New York (ORT011296) and active in the NPI registry since June 2025. He is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1699669291
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. COREY DOUGLAS RYANCredential: OD
Location Address53 PUBLIC SQWatertown, NY 13601-2174
Mailing Address53 Public Sq Ste 102Watertown, NY 13601-2674 · (315) 681-6379 · Fax (315) 681-6823
Phone(315) 681-6379
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateJune 6, 2025
Last NPPES UpdateMarch 11, 20263 updates tracked since enumeration
NPPES CertifiedMarch 11, 2026
✔ NPI 1699669291 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 · ORT011296
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.
53 PUBLIC SQ, Watertown, NY 13601
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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 and accepts Medicare assignment

Dr. Corey Douglas Ryan Od is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID143727396
PECOS Enrollment IDI20251007000248
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13601 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
$126.40 typical visit price
range $54.87 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
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 4

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

MRS. LINDA M MOSER ANP
Nurse Practitioner (Adult Health)
53 PUBLIC SQ, SUITE 201
WATERTOWN, NY 13601
Jefferson County (315) 782-4950
NORTHERN NEW YORK GASTROENTEROLOGY
Internal Medicine (Gastroenterology)
53 PUBLIC SQ, SUITE 202
WATERTOWN, NY 13601
Jefferson County (315) 786-8408
MARGOT M REMINGTON MD
Internal Medicine (Gastroenterology)
53 PUBLIC SQ, SUITE 202
WATERTOWN, NY 13601
Jefferson County (315) 786-8408
EILEEN R KRAEGER PA
Physician Assistant (Medical)
53 PUBLIC SQ, SUITE 202
WATERTOWN, NY 13601
Jefferson County (315) 786-8408

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 Corey Ryan's NPI number?

The NPI number for Corey Ryan is 1699669291. It was assigned to this individual provider in the NPPES registry on June 6, 2025.

Where is Corey Ryan located?

Corey Ryan practices at 53 Public Sq, Watertown, NY 13601. The listed phone number is (315) 681-6379.

What is Corey Ryan's specialty?

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

Is Corey Ryan enrolled in Medicare?

Yes. Corey Ryan is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Corey Ryan was last updated on March 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.