NPIMap

Organization Active NPI

Ryan W Cowburn OD

  • Optometrist
  • Indiana, PA
National Provider Identifier
1437319944
Registry record updated Jun 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG000276 Issued in PA
Legal business name
RYAN W COWBURN OD
Practice address
2121 Shelly Dr
Indiana, PA 15701-2395
Phone
(724) 349-1237
Fax
(724) 465-0127
NPI assigned
Jun 10, 2008
Last updated
Jun 10, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2008

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

Authorized official

Name
Ryan William Cowburn, O.D.NPI 1669487252
Title
Owner/Optometrist
Phone
(724) 349-1237

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG000276 PA Primary

Addresses

Primary practice location

2121 Shelly Dr
Indiana, PA 15701-2395

Mailing address

2121 Shelly Dr
Indiana, PA 15701-2395
Phone (724) 349-1237

National Provider Directory

National Provider Directory

Locations

2121 Shelly Dr
Indiana, PA 15701
Phone (724) 349-1237

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1213056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213056000000",
    "number": "1437319944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2121 SHELLY DR",
            "city": "INDIANA",
            "state": "PA",
            "postal_code": "157012395",
            "telephone_number": "724-349-1237",
            "fax_number": "724-465-0127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 SHELLY DR",
            "city": "INDIANA",
            "state": "PA",
            "postal_code": "157012395",
            "telephone_number": "724-349-1237",
            "fax_number": "724-465-0127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RYAN W COWBURN OD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-10",
        "last_updated": "2008-06-10",
        "status": "A",
        "authorized_official_last_name": "COWBURN",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER/OPTOMETRIST",
        "authorized_official_telephone_number": "724-349-1237",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG000276",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indiana, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2008; 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.