Doctor profile · Federal record

Dr. Wallace Ryne, O.D.

Optometrist (CMS: Optometry) · Southlake, TX

  • NPI 1164421319
  • Accepts Medicare
  • 49 yrs in practice
  • Male
  • Group practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
1980 E Northwest Pkwy
Southlake, TX 760926510
(817) 329-2700
Mailing address
6452 Alexandra Meadows Dr
Fort Worth, TX 761311221

Credentials & registration

NPPES · NUCC
NPI registered
July 2005 — 21 yrs on file
Profile last updated
March 7, 2023
Year of graduation
1977 — 49 yrs since
Specialty taxonomy
152W00000X — NUCC code
State license (1)
Texas #02485TG

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1164421319. Last verified May 11, 2026.

Medicare procedures · 2023

Top services delivered

CMS Provider Utilization
Total services
40
Distinct HCPCS
2
Medicare allowed
$4,105
HCPCS Description Services Patients Avg allowed
92012 Established patient problem focused exam of visual system 24 21 $89
92014 Established patient complete exam of visual system 16 16 $123

In context: peer comparison

Among 5 peers in Southlake Optometrist, average services per provider: 34. This provider delivers 1.2× the peer median.

Open Payments

Industry payments received

CMS Open Payments
All-time total
$72
Transactions
2
Manufacturers
2
Payer (manufacturer) Industry Txns Amount
RxSight INC 1 $51.98
Alcon Vision LLC 1 $19.62

By nature of payment

Food and Beverage
$72

Frequently asked questions

Auto-generated from federal data
What is Dr. Wallace Ryne's medical specialty?
Dr. Wallace Ryne practices Optometrist in Southlake, TX.
Where does Dr. Wallace Ryne practice?
Dr. Wallace Ryne practices at 1980 E Northwest Pkwy, Southlake, TX 760926510. Office phone: 8173292700.
What is Dr. Wallace Ryne's NPI?
Dr. Wallace Ryne's National Provider Identifier (NPI) is 1164421319, issued by NPPES.
Does Dr. Wallace Ryne accept Medicare assignment?
Yes. Dr. Wallace Ryne accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Wallace Ryne commonly perform?
Top Medicare-reported procedures in 2023: Established patient problem focused exam of visual system (HCPCS 92012); Established patient complete exam of visual system (HCPCS 92014). Source: CMS Medicare Physician & Other Practitioners file.