Individual
RYAN D IMLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG000274
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000360256
HIGHMARK
PA
05
—
0075369330002
—
PA
01
—
251387446
UNITED HEALTHCARE
—
01
—
410040534
MEDICARE RAILROAD
—
Enumeration date
06/17/2006
Last updated
09/27/2011
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