Organization
WILLIAM G. RYAN, O.D., LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM G. RYAN O.D. (OWNER)
(804) 443-3901
Entity
Organization
Contact information
Practice address
611 DELLA STREET, TAPPAHANNOCK, VA 22560-0966
(180) 443-3901
(804) 443-6458
Mailing address
PO BOX 966, TAPPAHANNOCK, VA 22560-0966
(804) 443-3901
(804) 443-6458
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
0618000514
VA
332H00000X
Eyewear Supplier
Primary
0618000514
VA
Other
Enumeration date
12/19/2007
Last updated
05/05/2009
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