DR. RYAN E NIELSON (NPI# 1538103148) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538103148 |
| Entity Type | Individual |
| Full Name | DR. RYAN E NIELSON |
| Credential | OD |
| Practice Address |
2320 E Gala St Suite 400 Meridian ID 83642-7091 |
| Practice Telephone | 2088980304 |
| Mailing Telephone | 2088980304 |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2009-07-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | ODP-100015 | ID | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | 806418900 | 05 | |
| ID | 806418901 | 05 | |
| ID | BLUE CROSS GROUP # | V6945 | 01 |
| ID | BLUE SHIELD OF IDAHO | 000010139527 | 01 |
| ID | BLUE CROSS IDAHO | V6952 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942711106 | Ryan Matthew Nielson | Pharmacist | 2212 Island Ave Ste 201, La Grande, OR 97850-3949 | 2017-10-16 |
| 1689187106 | Ryan Nielson | Physical Therapist | 400 S Independence Ave, Independence, VA 24348-3972 | 2017-11-06 |
| 1558709527 | Ryan Matthew Nielson | Dentist | 1411 Falls Ave E Ste 1000c, Twin Falls, ID 83301-3459 | 2013-06-11 |
| Street Address |
2320 E GALA ST SUITE 400 |
| City | MERIDIAN |
| State | ID |
| Zip Code | 83642-7091 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972547503 | Ana D Nielson | Optometrist | 2320 E Gala St, Suite 400, Meridian, ID 83642 | 2006-06-15 |
| 1225288202 | Daron J. Lind | Dentist | 2320 E Gala St, Ste 200, Meridian, ID 83642-7091 | 2008-09-25 |
| 1881853364 | Mark E. Smith Dds, PC | Dentist | 2320 E Gala St, Suite 200, Meridian, ID 83642-7091 | 2008-06-09 |
| 1285705772 | Nielson Eyecare Professionals PC | Optometrist | 2320 E Gala St, Suite 400, Meridian, ID 83642-7091 | 2006-11-13 |
| 1366520827 | Mark Ellsworth Smith | Dentist | 2320 E Gala St, 200, Meridian, ID 83642-7091 | 2006-11-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174145684 | Ikdo South Meridian LLC | Dentist | 3839 E Amity Rd, Meridian, ID 83642 | 2020-05-07 |
| 1073133328 | Prescription Pad LLC | Pharmacy | 885 S Vanguard Way, Meridian, ID 83642 | 2020-04-16 |
| 1609412683 | Meridian Advanced Psychiatry, LLC | Psychiatry & Neurology | 1672 S Woodsage Ave., Meridan, ID 83642 | 2019-11-25 |
| 1194378927 | Sergey Tsema | Occupational Therapist | 1259 E Pisa St, Meridian, ID 83642 | 2019-07-21 |
| 1003478629 | Chris R Jackson | Dentist | Isu Family Dentistry, 1311 E Central Dr, Meridian, ID 83642 | 2019-07-03 |
| 1285293118 | Morgan Family Medicine | Nurse Practitioner | 1660 S Woodsage Avenue, Meridian, ID 83642 | 2019-06-13 |
| 1033772793 | Nugen Healthcare, Pllc | Registered Nurse | 2177 S Spoonbill Ave, Meridian, ID 83642 | 2019-04-18 |
| 1811471790 | Courtney Crossland | Physician Assistant | 4949 S Hillsdale Ave., Meridian, ID 83642 | 2018-09-18 |
| 1841771938 | Katelyn Perry | Counselor | 2068 S. Eagle Rd., Meridian, ID 83642 | 2018-08-27 |
| 1114406204 | Gem Prep: Meridian LLC | Case Management | 2750 E.gala Ct., Meridian, ID 83642 | 2018-08-09 |
| Find all providers in zip 83642 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| 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. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386252609 | Primary Eyecare South LLC | Optometrist | 1217 S Frontage Rd Ste E, Meridian, MS 39301-6124 | 2020-07-22 |
| 1538792551 | Eyes On Meridian LLC | Optometrist | 119 E Calderwood Dr, Meridian, ID 83642-7482 | 2020-02-18 |
| 1952703209 | Reservoir Eye Care Clinic Pllc | Optometrist | 536 Lindley Rd, Meridian, MS 39305-2301 | 2014-09-18 |
| 1881011526 | Meridian Eye Care, LLC | Optometrist | 5002 Highway 39 N Bldg B, Meridian, MS 39301-1078 | 2014-03-19 |
| 1073814737 | Carter Vision Care, Pllc | Optometrist | 1157 E Puffin St, Meridian, ID 83642-7444 | 2010-11-11 |
| 1265749493 | William Paul Schilling | Optometrist | 795 W Overland Rd, Meridian, ID 83642 | 2010-09-09 |
| 1376705293 | Luke A Randall | Optometrist | 1540 W Cayuse Creek Dr, Meridian, ID 83646-4795 | 2008-07-01 |
| 1578757076 | Primary Eyecare & Optical of Meridian, P.a. | Optometrist | 4721 26th Ave., Meridian, MS 39305 | 2007-08-29 |
| 1770776353 | Melissa Ann Fowler | Optometrist | 1715 S Wells Ave # 100, Meridian, ID 83642-5066 | 2007-08-27 |
| 1316013691 | The Eye Associates, P.a. | Optometrist | 2620 S Eagle Rd, Meridian, ID 83642-6704 | 2006-11-28 |
| Find all providers in MERIDIAN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.