Individual
DR. RYAN EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
3965 75TH ST # 105, AURORA, IL 60504-7925
(815) 260-6884
Mailing address
3965 75TH ST # 105, AURORA, IL 60504-7925
(815) 260-6884
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
4901004791
MI
152WV0400X
Vision Therapy Optometrist
Primary
046010924
IL
Other
Enumeration date
02/07/2014
Last updated
03/16/2021
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