Individual
DR. ELIZABETH ANN RYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
142 NORTH MAIN STREET, BELCHERTOWN, MA 01007
(413) 323-1196
(413) 323-1186
Mailing address
142 N MAIN ST, BELCHERTOWN, MA 01007-9433
(413) 323-1196
(413) 323-1186
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
002412
CT
152W00000X
Optometrist
Primary
3455
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0356166
—
MA
Enumeration date
10/26/2006
Last updated
10/13/2011
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