Individual
DR. PAUL RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2816 AUDUBON VILLAGE DR, AUDUBON, PA 19403-2262
(610) 650-9124
(610) 650-9125
Mailing address
2816 AUDUBON VILLAGE DR, AUDUBON, PA 19403-2262
(610) 650-9124
(610) 650-9125
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG-001130
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
040849
DAVIS VISION
PA
01
—
204721
EYEMED
PA
01
—
2579100
AETNA
PA
01
—
26431
SPECTERA
PA
01
—
396852
NVA
PA
01
—
PA87555
VBA
PA
Enumeration date
11/20/2006
Last updated
07/08/2007
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