Manning, Ryan Roger
Manning, Ryan Roger is an individual health care provider with primary practice located at 4212 N 16Th St , Phoenix AZ 85016-5319. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Manning, Ryan Roger can be contacted via phone (602) 263-1200.Contact Information
Primary practice address
4212 N 16Th St
Phoenix AZ 85016-5319
Phone: (602) 263-1200
Fax: (602) 263-1635
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 59594209934 | Utah |
| Eye and Vision Services Providers / Optometrist | 152W00000X | 1730 | Arizona |
Profile Details
| NPI number | 1720058977 |
|---|---|
| LBN Legal business name | Manning, Ryan Roger |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 23rd, 2006 |
| Last updated | May 2nd, 2019 - about 6 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 | 1720058977 | NPPES |
| Arizona | Other | 1730 | ARIZONA OPTOMETRY LICENSE |
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