Active NPI
Ryan Dillard
- Optician
- Indian Land, SC
National Provider Identifier
1639809080
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- 1251
- Practice address
- 10048 Charlotte Hwy
Indian Land, SC 29707-7135 - Phone
- (803) 548-6622
- NPI assigned
- Jun 16, 2022
- Last updated
- Jun 16, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician | 156FX1800X | 1251 | SC | Primary |
Addresses
Primary practice location
10048 Charlotte Hwy
Indian Land, SC 29707-7135
Mailing address
308 Tradition Way
Rock Hill, SC 29732-8340
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1251 | SC | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1655337600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1655337600000",
"number": "1639809080",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "308 TRADITION WAY",
"city": "ROCK HILL",
"state": "SC",
"postal_code": "297328340"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10048 CHARLOTTE HWY",
"city": "INDIAN LAND",
"state": "SC",
"postal_code": "297077135",
"telephone_number": "803-548-6622"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DILLARD",
"first_name": "RYAN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-06-16",
"last_updated": "2022-06-16",
"certification_date": "2022-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": "SC",
"license": "1251",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Indian Land, SC
- Olha Danchyshyn
- Patti Darling-Ruland, CPSS
- Eugene Scott Dawson, D.O.
- Dental Professional of South Carolina, P.C. (Indian Land Dental Care)
- Dental Professionals of South Carolina, PC (Edgewater Family Dental)
- Brittany Dinkins, MA, CCC-SLP
- Doby's Bridge Dentistry
- Doctors Care SC, PA (Doctors Care Indian Land)
- Donna Dukes
- Kimia Eftekhar, DDS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.