Vance Edward Ryan, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

1115 Issued in AZ

Practice address

21001 N Tatum Blvd
Phoenix, AZ 85050-4206

Phone

(480) 419-9750

Fax

(480) 419-9752

NPI assigned

Mar 7, 2007

Last updated

Jul 8, 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": "1173225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1427188374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10019 E MOUNTAIN VIEW RD UNIT 2092",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852586326",
            "telephone_number": "480-219-7304",
            "fax_number": "480-219-7304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21001 N TATUM BLVD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850504206",
            "telephone_number": "480-419-9750",
            "fax_number": "480-419-9752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYAN",
        "first_name": "VANCE",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "1115",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYEMED",
            "identifier": "167475",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nettie Ryan, RN
• Peter T Ryan, OD
• Rochelle Ryan, LAC
• Teresa Lynn Ryan, P.A.
• Timothy John Ryan, DO
• Cindy Ryanto
• Jaclyn Rybin, RDN
• Daniel John Rydberg
• Jessica Rydberg, M.ED, BCBA
• David Joseph Ryder, M.D.

• Optometrist in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Optometrist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.