Individual
RYAN DAMIEN HERRON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1470D PLEASANT VALLEY RD, MANCHESTER, CT 06042-8761
(860) 812-6267
Mailing address
82 ST IVES WAY APT 34, MARLBOROUGH, MA 01752-5921
(727) 494-9038
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3411
CT
Other
Enumeration date
07/03/2025
Last updated
07/03/2025
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