Individual
DR. RYAN MONTGOMERY LEBLANC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
0618001852
VA
152W00000X
Optometrist
Primary
2159
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0932M
BCBS PROV #
NC
05
—
5914851
—
NC
01
—
AO5134
EYEMED
NC
Enumeration date
06/19/2009
Last updated
08/29/2012
Update your record
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