Individual
DOUGLAS J RYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
141 CLINT DR, PICKERINGTON, OH 43147-7750
(614) 575-0111
(614) 577-9214
Mailing address
141 CLINT DR, PICKERINGTON, OH 43147-7750
(614) 575-0111
(614) 577-9214
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
5153
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2213956
—
OH
Enumeration date
11/22/2006
Last updated
03/12/2014
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