Harris, Michael Ryan

Harris, Michael Ryan is an sole proprietor health care provider with primary practice located at 970 Ribaut Rd Ste 2, Beaufort SC 29902-5492. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Harris, Michael Ryan can be contacted via phone (843) 524-3770.

Contact Information

Primary practice address
970 Ribaut Rd Ste 2 Beaufort SC 29902-5492
Fax: (854) 524-0246
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 633 South Carolina

Profile Details

NPI number 1992858799
LBN Legal business name Harris, Michael Ryan
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 18th, 2007
Last updated Oct 25th, 2017 - about 9 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1992858799 NPPES
South Carolina MEDICAID 245058

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