RYLEE RAE DONOVAN OD
NPI 1710779624
Optometrist in Tumwater, WA

Q: 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.

Q: What is Rylee Donovan's specialty?

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

Q: 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 6 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.

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: October 18, 2026.

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

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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

Phone(360) 228-2733

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

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Rylee Donovan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Eye Love PLLC

Same address

Optometrist

3409 CAPITOL BLVD SE
Tumwater, WA 98501

Reassigned Medicare billing, Washington enrollment
4 clinicians in this Medicare group

NPI 1093272841 (360) 228-2733

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 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.

MARLA VIGRE

Counselor (Mental Health)

409 CUSTER WAY SE, SUITE D
TUMWATER, WA 98501

Thurston County (360) 570-8258

CHRISTINE HIMLIE

Counselor (Addiction (Substance Use Disorder))

409 CUSTER WAY SE, SUITE C
TUMWATER, WA 98501

Thurston County (360) 570-8258

DR. YONGQIAN HUANG DDS, MSD

Dentist (General Practice)

409 CUSTER WAY SE, SUITE C
TUMWATER, WA 98501

Thurston County (360) 570-8016

CEPHUS CHILDS JR.

Marriage & Family Therapist

409 CUSTER WAY SE, STE D
TUMWATER, WA 98501

Thurston County (360) 570-8258

LAURIE BRIESE

Counselor (Addiction (Substance Use Disorder))

409 CUSTER WAY SE, SUITE D
TUMWATER, WA 98501

Thurston County (360) 570-8258

TIFFANY ANN SMITH

Counselor (Addiction (Substance Use Disorder))

409 CUSTER WAY SE, STE D
TUMWATER, WA 98501

Thurston County (360) 570-8258

LANCE DANIEL GERMAN DE60369954

Dentist

409 CUSTER WAY SE, SUITE C
TUMWATER, WA 98501

Thurston County (360) 570-8016

NISTON Y FRANCO

Counselor (Addiction (Substance Use Disorder))

409 CUSTER WAY SE, SUITE D
TUMWATER, WA 98501

Thurston County (360) 570-8258

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.

Which organization bills Medicare for Rylee Donovan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Rylee Donovan reassigns Medicare benefits to Eye Love PLLC (Tumwater, WA). 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 Rylee Donovan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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 6 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.