Individual
DR. RYAN SCOTT ORGILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
225 E MAIN ST, SUITE E, GRANTSVILLE, UT 84029-9030
(435) 249-0530
(435) 249-0532
Mailing address
225 E MAIN ST, SUITE E, GRANTSVILLE, UT 84029-9030
(435) 249-0530
(435) 249-0532
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
66302019934
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
87017934007001
BLUE CROSS/BLUE SHIELD
UT
01
—
87017934028001
BLUE CROSS/BLUE SHIELD
UT
05
—
999000797009
—
UT
Enumeration date
06/29/2007
Last updated
08/01/2008
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