Brack, Ryan Wayne
Brack, Ryan Wayne is an sole proprietor health care provider with primary practice located at 24833 John T Reid Pkwy , Scottsboro AL 35768-2340. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Brack, Ryan Wayne can be contacted via phone (256) 574-5698.Contact Information
Primary practice address
24833 John T Reid Pkwy
Scottsboro AL 35768-2340
Phone: (256) 574-5698
Fax: (256) 574-6939
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | S975TA537 | Alabama |
Profile Details
| NPI number | 1609973379 |
|---|---|
| LBN Legal business name | Brack, Ryan Wayne |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 17th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1609973379 | NPPES |
| Alabama | Other | 51503656 | BCBS OF AL |
Popular Providers
-
Mothershed, Fred H
3353 N Gloster St , Tupelo MS 38804-9735 -
Smothers-Champley, Debra
900 W Springfield Rd , Taylorville IL 62568-1213 -
Sude, Jerome
3510 Manchester Rd , Coventry Township OH 44319-1415 -
Atchley, Ronald C.
323 Parks Ave , Scottsboro AL 35768-2411 -
Glass, Ambra T
828 S Broad St , Scottsboro AL 35768-2508 -
Keplinger, Brian Leigh
15 Grandview Dr Ste D, Frankfort KY 40601-3235 -
Akel, Abraham
105 Sawgrass Pt , Harrison AR 72601-3072 -
Holland, Malon Paul
414 Parks Ave , Scottsboro AL 35768-2440