RYAN NGHIEM NGO (OD) – Optometrist, NPI 1407321508

RYAN NGHIEM NGO (OD) is a healthcare provider. based in Sunnyside, Washington. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. AT4812 (OR). The NPI Number for RYAN NGHIEM NGO (OD) is 1407321508

Main info

Male
Sole Proprietor
6 Years Of Experience
Accepts Medicare Assignment
Name
RYAN NGHIEM NGO (OD)
NPI
1407321508
Phone
(503) 380-2285
Address
2675 E Lincoln Ave
Enumeration Date
4 October 2018
Last Update Date
30 March 2026

Doctor Profile

Medical School Name
PACIFIC UNIVERSITY - COLLEGE OF OPTOMETRY
Secondary Phone
4252611500
Graduation Year
2020 (6 years ago)
PAC ID
8224440110
Group Practice PAC ID
9032022579
Professional Enrollment ID
I20201217001890
Address ID
WA982013832EV2930XSTXX300

Contacts

SOAP Endpoint
https://careepicwa.kp.org:14430/Interconnect-CE-PRD/wcf/epic.community.hie/xcpdrespondinggatewaysync
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience47
Completeness95
Years active:7State licenses:2Other names

1,098 OPTOMETRY in WA

Provider Addresses for RYAN NGHIEM NGO (OD)

  • 2675 E Lincoln Ave

    Sunnyside, WA 989442485

    Phone: (503) 380-2285

    Type: Location

  • 4826, Tacoma Mall Boulevard, Tacoma, Pierce County, Washington, 98409, United States

    STE A

    TACOMA, WA 984097108

    Phone: (253) 475-0374

    Fax: (253) 475-9291

    Type: Location

  • 2930 MAPLE ST

    EVERETT, WA 982013832

    Phone: (253) 596-3300

    Fax: (253) 596-3301

    Type: Mailing

  • 209 MARTIN LUTHER KING JR WAY

    TACOMA, WA 984054265

    Phone: (253) 596-3300

    Fax: (253) 596-3301

    Type: Location

  • 4003 ROAD 96

    PASCO, WA 993011565

    Phone: (503) 380-2285

    Type: Mailing

  • 4820 ROAD 68

    PASCO, WA 993019009

    Phone: (503) 380-2285

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $56.

Total Amount is formed as General ($56) + Research ($0) + Ownership ($0) = $56.

Last reported payment date: 2024-07-27 • Largest payer in this snapshot: Johnson & Johnson Vision Care, Inc. ($56).

Total Amount

$56

General + Research + Ownership

Payments

1

Total payment records

General Amount

$56

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-27

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: 2020-12-17

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
I20201217001890IOptometryWATBD

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 system1211$0
View full utilization report →

Insurance plans in this area (ZIP 98944)

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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: 9032022579View full group profile

Reviews

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Frequently asked questions

Can I verify RYAN NGHIEM NGO (OD) with an NPI only?
You can start verification with NPI 1407321508 for RYAN NGHIEM NGO (OD), then check state licensing separately.
Is RYAN NGHIEM NGO (OD) listed as active for patients and plans?
The listing shows RYAN NGHIEM NGO (OD) as active in the NPI system.
What taxonomy line describes RYAN NGHIEM NGO (OD)?
For research purposes, treat RYAN NGHIEM NGO (OD) as Optometrist in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect RYAN NGHIEM NGO (OD) on a map?
Expect Sunnyside, Washington as a primary anchor for RYAN NGHIEM NGO (OD) unless the record lists multiple sites.
Why does RYAN NGHIEM NGO (OD) have multiple addresses?
7 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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