Raymond Richard Ryan, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OD00001332 Issued in WA

Practice address

6821 N Country Homes Blvd Ste 101
Spokane, WA 99208-4373

Phone

(509) 344-2020

Fax

(509) 344-2021

NPI assigned

Mar 26, 2007

Last updated

Oct 18, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192665600000",
    "number": "1235257882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6821 N COUNTRY HOMES BLVD STE 101",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992084373",
            "telephone_number": "509-344-2020",
            "fax_number": "509-344-2021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6821 N COUNTRY HOMES BLVD STE 101",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992084373",
            "telephone_number": "509-344-2020",
            "fax_number": "509-344-2021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYAN",
        "first_name": "RAYMOND",
        "middle_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-26",
        "last_updated": "2007-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "OD00001332",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2024164",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jacquelyn Ann Ryan, MD
• Jaimie Ryan
• Maria R Ryan
• Michael E Ryan, MD
• Michael J Ryan
• Allison P Ryckman
• Earl Mark Ryder, OD
• Sabrina Patricia Saad, RD, CD
• Dawn L Saari, MS, LMHC
• Abel Saba, DNP FNP

• Optometrist in Spokane, WA
• Providers in Spokane, WA by specialty
• Optometrist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.