Individual
DR. JOHN OLIVER RYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
306JEFFERSON AVE, WEST JEFFERSON, NC 28694-1477
(336) 246-8863
(336) 246-8864
Mailing address
PO BOX 1477, 306 JEFFERSON AVE, WEST JEFFERSON, NC 28694-1477
(336) 246-8863
(336) 246-8864
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1174
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09820
BLUE CROSS/BLUE SHIELD
NC
01
—
10346-1
MEDPOINT
NC
01
—
56162
MEDCOST
NC
05
—
8909820
—
NC
Enumeration date
04/07/2006
Last updated
04/17/2008
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