OrganizationActive
Ryan Nicholas OD LLC
NPI 1558905588 · Optometrist · Orlando, FL
Provider details
- NPI number
- 1558905588
- Entity type
- Organization
- Primary specialty
- OptometristEye and Vision Services Providers
- Organization subpart
- No
- Authorized official
- Ryan Nicholas, Optometrist(909) 542-5208
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
Established profile(65/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4200 Conroy Rd # B166
Orlando, FL 32839-2400
Phone: (407) 473-3539
Fax: (407) 796-8602
Approximate (ZIP-level) locationGet directions
Mailing address
5268 Baskin St
Orlando, FL 32814-6920
Registry dates
- Enumerated
- 2019-11-02
- Last updated
- 2019-11-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.