DR. RYAN JOHN ANDERSON (OD) – Optometrist, NPI 1639927130

DR. RYAN JOHN ANDERSON (OD) is a healthcare provider. based in Colorado springs, Colorado. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. OPT.0004030 (CO). The NPI Number for DR. RYAN JOHN ANDERSON (OD) is 1639927130

Main info

Male
2 Years Of Experience
Accepts Medicare Assignment
Name
DR. RYAN JOHN ANDERSON (OD)
NPI
1639927130
Phone
(218) 242-3565
Address
5446 ARDEN GRV
Enumeration Date
9 May 2024
Last Update Date
3 July 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7196303937
Graduation Year
2024 (2 years ago)
PAC ID
6002352937
Group Practice PAC ID
0840267217
Professional Enrollment ID
I20240726001941
Address ID
CO809201018CO1755XDRXX302
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

857 OPTOMETRY in CO

Provider Addresses for DR. RYAN JOHN ANDERSON (OD)

  • 5446 ARDEN GRV

    COLORADO SPRINGS, CO 809223277

    Phone: (218) 242-3565

    Type: Mailing

  • 3155 N UNION BLVD

    COLORADO SPRINGS, CO 809078703

    Phone: (719) 630-3937

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $73.

Total Amount is formed as General ($73) + Research ($0) + Ownership ($0) = $73.

Last reported payment date: 2024-12-20 • Largest payer in this snapshot: SUN PHARMACEUTICAL INDUSTRIES INC. ($37).

Total Amount

$73

General + Research + Ownership

Payments

3

Total payment records

General Amount

$73

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-20

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-07-26

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240726001941IOptometryCOTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 80922)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0840267217View full group profile
NameSpecialtyState
O P H T H A L M O L O G YCO
O P H T H A L M O L O G YCO
O P H T H A L M O L O G YIA
O P T O M E T R YCO
O P T O M E T R YCO
O P H T H A L M O L O G YMT
O P H T H A L M O L O G YCO

Reviews

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Frequently asked questions

What federal number belongs to DR. RYAN JOHN ANDERSON (OD)?
The federal identifier for DR. RYAN JOHN ANDERSON (OD) is NPI 1639927130.
Is DR. RYAN JOHN ANDERSON (OD)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does DR. RYAN JOHN ANDERSON (OD) list a primary specialty?
If you are matching referrals, note Optometrist for DR. RYAN JOHN ANDERSON (OD). Clinical services aligned with this taxonomy classification.
Where is DR. RYAN JOHN ANDERSON (OD)'s primary listing?
We display Colorado Springs, Colorado because that is what the record indicates for DR. RYAN JOHN ANDERSON (OD).
Is DR. RYAN JOHN ANDERSON (OD) a real provider?
This page reflects official NPPES data for NPI 1639927130. Always confirm identity and privileges with the practice and licensing boards.

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