Individual
DR. PATRICK W.A. RYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
3410 PUMP RD, RICHMOND, VA 23233-1111
(804) 364-1837
(804) 364-1698
Mailing address
3410 PUMP RD, RICHMOND, VA 23233-1111
(804) 364-1837
(804) 364-1698
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1248
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
410037465
RAILROAD MEDICARE
VA
Enumeration date
08/30/2005
Last updated
11/10/2008
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