Ryan Grand

Optometrist · Avon, CT

Individual Active NPI

NPI number 1790277333

Practice location

18 W Avon Rd
Avon, CT 06001-3583
Phone
(860) 675-3937
Fax
(860) 673-2555

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NPI record

NPI
1790277333
Entity type
Individual (Type 1)
Enumeration date
May 30, 2018
Last updated
November 15, 2021
Certified
November 15, 2021
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Optometrist Primary 152W00000X 3068 CT

Mailing address

1950 Old Gallows Rd Ste 520
Vienna, VA 22182-3970
Phone
(703) 847-8899

About Ryan Grand

Ryan Grand is a healthcare provider registered in the NPI registry with the primary taxonomy Optometrist (code 152W00000X). The practice location is 18 W Avon Rd, Avon, CT 06001-3583. The NPI number 1790277333 was assigned on May 30, 2018 and the record was last updated on November 15, 2021.

Ryan Grand lists a license in the registry: #3068 (CT) for Optometrist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Ryan Grand?

The NPI number is 1790277333.

What is the phone number of Ryan Grand?

The phone number listed for the practice location is (860) 675-3937.

Where is Ryan Grand located?

18 W Avon Rd, Avon, CT 06001-3583.

What is the taxonomy code for Ryan Grand?

The primary taxonomy code is 152W00000X – Optometrist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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