RYLEE RAE DONOVAN OD
NPI 1710779624
Optometrist in Tumwater, WA

Active since May 19, 2025PECOS EnrolledAccepts Medicare Assignment
409 CUSTER WAY SE, TUMWATER, WA 98501(360) 228-2733(360) 252-8173 Get Directions Write a Review

NPPES record last updated: April 7, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 7, 2026, May 19, 2025 (2 updates tracked since 2025).

About Rylee Rae Donovan Od NPPES

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

RYLEE RAE DONOVAN OD (NPI 1710779624) is an individual optometrist in Tumwater, Washington, licensed in Washington (70053128) and active in the NPI registry since May 2025. She is enrolled in Medicare PECOS and is a graduate of Other.

NPPES Registry Identity

NPI1710779624
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameRYLEE RAE DONOVANCredential: OD
Location Address409 CUSTER WAY SETumwater, WA 98501-3350
Mailing Address2735 Tuscany Ln Sw Apt 821Tumwater, WA 98512-7859 · (360) 529-7196
Fax(360) 252-8173
Sole ProprietorNo
Medical School CMSOther
Enumeration DateMay 19, 2025
Last NPPES UpdateApril 7, 20262 updates tracked since enumeration
NPPES CertifiedApril 7, 2026
NPI 1710779624 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 WA · 70053128
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.
409 CUSTER WAY SE, Tumwater, WA 98501

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

Rylee Rae Donovan 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 ID345718458
PECOS Enrollment IDI20260507000678
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 98501 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
$130.99 typical visit price
range $57.27 – $172.80
Typical copayment $32.74 (range $14.31 – $43.20)
Most-billed visit code 99204
Established Patient
$71.29 typical visit price
range $18.56 – $141.11
Typical copayment $17.82 (range $4.64 – $35.27)
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 15

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

Counselor (Mental Health)
409 CUSTER WAY SE, SUITE D
TUMWATER, WA 98501
Counselor (Addiction (Substance Use Disorder))
409 CUSTER WAY SE, SUITE C
TUMWATER, WA 98501
Dentist (General Practice)
409 CUSTER WAY SE, SUITE C
TUMWATER, WA 98501
Marriage & Family Therapist
409 CUSTER WAY SE, STE D
TUMWATER, WA 98501
Counselor (Addiction (Substance Use Disorder))
409 CUSTER WAY SE, SUITE D
TUMWATER, WA 98501
Counselor (Addiction (Substance Use Disorder))
409 CUSTER WAY SE, STE D
TUMWATER, WA 98501
Dentist
409 CUSTER WAY SE, SUITE C
TUMWATER, WA 98501
Counselor (Addiction (Substance Use Disorder))
409 CUSTER WAY SE, SUITE D
TUMWATER, WA 98501

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 Rylee Donovan's NPI number?

The NPI number for Rylee Donovan is 1710779624. It was assigned to this individual provider in the NPPES registry on May 19, 2025.

Where is Rylee Donovan located?

Rylee Donovan practices at 409 Custer Way SE, Tumwater, WA 98501. The listed phone number is (360) 228-2733.

What is Rylee Donovan's specialty?

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

Is Rylee Donovan enrolled in Medicare?

Yes. Rylee Donovan 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 Rylee Donovan was last updated on April 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.