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
Phone: (585) 271-2990
Fax: (585) 271-6321
Website:
Health care specialties
| Specialty | Code | License # | 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 3 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 | 1851398630 | NPPES |
| New York | MEDICAID | 01594870 |
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