DOUGLAS J RYEN (OD) – Optometrist, NPI 1174698245

DOUGLAS J RYEN (OD) is a healthcare provider. based in Pickerington, Ohio. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 5153 (OH). The NPI Number for DOUGLAS J RYEN (OD) is 1174698245

Main info

Male
26 Years Of Experience
Accepts Medicare Assignment
Name
DOUGLAS J RYEN (OD)
NPI
1174698245
Phone
(614) 575-0111
Address
141 CLINT DR
Enumeration Date
22 November 2006
Last Update Date
12 March 2014

Doctor Profile

Medical School Name
OHIO STATE UNIVERSITY - COLLEGE OF OPTOMETRY
Secondary Phone
7403421784
Graduation Year
2000 (26 years ago)
PAC ID
2567364904
Group Practice PAC ID
8022420884
Professional Enrollment ID
I20040126000030
Address ID
OH437641080NE391XXDRXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,618 OPTOMETRY in OH

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Provider Addresses for DOUGLAS J RYEN (OD)

  • 141, Clint Drive, Pickerington, Violet Township, Fairfield County, Ohio, 43147, United States

    PICKERINGTON, OH 431477750

    Phone: (614) 575-0111

    Fax: (614) 577-9214

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 14 Open Payments records for all available years, with a total value of $387.

Total Amount is formed as General ($387) + Research ($0) + Ownership ($0) = $387.

Last reported payment date: 2024-11-27 • Largest payer in this snapshot: BIOTISSUE HOLDINGS, INC. ($124).

Total Amount

$387

General + Research + Ownership

Payments

14

Total payment records

General Amount

$387

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-27

Latest reported date

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: 2004-01-26

PECOS data refreshed: 2026-05-27

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
I20040126000030IOptometryOHTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
92014Established patient complete exam of visual system3535$0
92250Photography of the retina2018$0
View full utilization report →

Insurance plans in this area (ZIP 43147)

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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: 8022420884View full group profile
NameSpecialtyState
O P T O M E T R YOH
O P T O M E T R YOH
O P T O M E T R YOH

Reviews

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Frequently asked questions

What is the 10-digit NPI for DOUGLAS J RYEN (OD)?
DOUGLAS J RYEN (OD) — NPI 1174698245 — is the standard way to identify this listing.
Does the file indicate DOUGLAS J RYEN (OD) is practicing under active NPI?
Directory data currently reports DOUGLAS J RYEN (OD) as active.
What healthcare role does DOUGLAS J RYEN (OD) hold?
Scheduling teams often label DOUGLAS J RYEN (OD) under Optometrist. Clinical services aligned with this taxonomy classification.
What area does DOUGLAS J RYEN (OD) serve?
DOUGLAS J RYEN (OD)'s listing highlights Pickerington, Ohio; more addresses can appear in NPPES.
Why does DOUGLAS J RYEN (OD) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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