Lebreton, Ryan Michael

Lebreton, Ryan Michael is an individual health care provider with primary practice located at 415 Washington St , The Dalles OR 97058-2215. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Lebreton, Ryan Michael can be contacted via phone (541) 296-2911.

Contact Information

Primary practice address
415 Washington St The Dalles OR 97058-2215
Fax: (541) 296-2224
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 2973AT Oregon

Profile Details

NPI number 1528042769
LBN Legal business name Lebreton, Ryan Michael
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 1st, 2005
Last updated Nov 16th, 2007 - about 19 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 1528042769 NPPES
Oregon MEDICAID 233145

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