Individual
DR. RYAN GRANT HAYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
3031 S HIGHWAY 191, MOAB, UT 84532-3629
(435) 259-9441
Mailing address
1723 E PRINCETON AVE, SALT LAKE CITY, UT 84108-1810
(267) 736-6335
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
8331523-9934
UT
152W00000X
Optometrist
OD60427821
WA
152W00000X
Optometrist
OPT-OPT-LIC-3089
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8331523-9934
STATE LICENSE
UT
01
—
OD60427821
STATE LICENSE
WA
01
—
OPT-OPT-LIC-3089
STATE LICENSE
MT
Enumeration date
06/09/2012
Last updated
04/29/2022
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