Individual
BRYAN RAMIREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
HIGHWAY 191 AND HOSPITAL DRIVE, CHINLE, AZ 86503
(928) 674-7001
Mailing address
22465 BROKEN LANCE CT, APPLE VALLEY, CA 92307-3791
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4202
CO
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/16/2026
Last updated
06/18/2026
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