Ryan, Robert A

Ryan, Robert A is an individual health care provider with primary practice located at 169 Rue De Vl , Rochester NY 14618-5619. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Ryan, Robert A can be contacted via phone (585) 271-2990.

Contact Information

Primary practice address
169 Rue De Vl Rochester NY 14618-5619
Fax: (585) 271-6321
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 5025 New York
Eye and Vision Services Providers / Optometrist 152W00000X VUT005025-1 New York

Profile Details

NPI number 1851398630
LBN Legal business name Ryan, Robert A
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2005
Last updated Jul 5th, 2023 - about last year

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1851398630 NPPES
New York MEDICAID 01594870

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