Individual
DR. RYAN GLENN PALMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
257 S 19TH ST, BLAIR, NE 68008-1903
(402) 426-4601
(402) 426-4710
Mailing address
257 S 19TH ST, BLAIR, NE 68008-1903
(402) 426-4601
(402) 426-4710
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1299
NE
152W00000X
Optometrist
1715DT
KY
152W00000X
Optometrist
5646T2560
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000547841
BCBS
—
Enumeration date
04/14/2007
Last updated
08/30/2012
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