Kevin Michael Ryan, O.D.

Optometrist · Peoria, IL

Individual Active NPI

NPI number 1811272263

Practice location

5201 W War Memorial Dr
Peoria, IL 61615-9222
Phone
(309) 282-1002
Fax
(309) 282-1003

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NPI record

NPI
1811272263
Entity type
Individual (Type 1)
Enumeration date
October 17, 2011
Last updated
October 17, 2011
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Optometrist Primary 152W00000X 046010468 IL

About Dr. Ryan

Kevin Michael Ryan, O.D. is a healthcare provider registered in the NPI registry with the primary taxonomy Optometrist (code 152W00000X). The practice location is 5201 W War Memorial Dr, Peoria, IL 61615-9222. The NPI number 1811272263 was assigned on October 17, 2011 and the record was last updated on October 17, 2011.

Dr. Ryan lists a license in the registry: #046010468 (IL) 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 Kevin Michael Ryan, O.D.?

The NPI number is 1811272263.

What is the phone number of Dr. Ryan?

The phone number listed for the practice location is (309) 282-1002.

Where is Dr. Ryan located?

5201 W War Memorial Dr, Peoria, IL 61615-9222.

What is the taxonomy code for Dr. Ryan?

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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