DR. KEVIN MICHAEL RYAN


Address: 5201 W War Memorial Dr, Peoria, IL 61615-9222
Phone: 3092821002

DR. KEVIN MICHAEL RYAN (NPI# 1811272263) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1811272263
Entity Type Individual
Full Name DR. KEVIN MICHAEL RYAN
Credential O.D.
Practice Address 5201 W War Memorial Dr
Peoria
IL 61615-9222
Practice Telephone 3092821002
Practice Fax Number 3092821003
Mailing Telephone 3092821002
Mailing Fax Number 3092821003
Enumeration Date 2011-10-17
Last Update Date 2011-10-17
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 152W00000X Optometrist 046010468 IL Eye and Vision Services Providers

Other Providers KEVIN RYAN

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1063019479 Kevin Thomas Ryan Massage Therapist 2220 Nw Front Ave Apt 316, Portland, OR 97209-1998 2020-10-08
1548769524 Kevin Ryan Physician Assistant 12 High Street Suite 102, Lewiston, ME 04240 2018-02-06
1326341645 Kevin Patrick Ryan Physical Therapist 1111 W North 12th St, Shelbyville, IL 62565-9554 2010-12-08
1033398284 Kevin Thomas Ryan Marriage & Family Therapist 119 E 2nd St Ste 216, The Dalles, OR 97058-1796 2007-10-24
1790809663 Kevin A Ryan Dentist 5312 Carolina Pl, Springfield, VA 22151-4401 2007-03-18
1033252465 Kevin J Ryan Counselor 5127 Troon Ln, Durham, NC 27712-1829 2007-02-15
1346309275 Kevin S Ryan Physical Therapist 30 Great Rd Ste 105, Acton, MA 01720 2006-12-06
1184796062 Kevin Peter Ryan Chiropractor 7151 El Cajon Blvd Ste J, San Diego, CA 92115-1819 2006-11-15
1326066614 Kevin Shawn Ryan Dentist 510 Simpson Howell Rd, Elizabeth, PA 15037-2818 2006-07-17
1790717759 Kevin Padric Ryan Pharmacy 4727 Denver Avenue South, C/o Bartell Drug Company, Seattle, WA 98134-2316 2006-07-07

Office Location

Street Address 5201 W WAR MEMORIAL DR
City PEORIA
State IL
Zip Code 61615-9222

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1124627906 Lance Jay Bucher Occupational Therapist 8600 Il-91, Peoria, IL 61615 2020-10-22
1093327496 Angela Mitchell Speech-Language Pathologist 3903 W Ridgeview Dr, Peoria, IL 61615 2020-08-18
1578110680 Emily E Buenting Audiologist 8600 Il Route 91, Suite 300, Peoria, IL 61615 2019-08-22
1730655572 Sylwia M. Budzik Physician Assistant 8600 Illinois Rt. 91, Suite 300, Peoria, IL 61615 2018-10-19
1487169207 Heather Hart Registered Nurse 9016 N. Scrimshaw Dr. Apt 104, Peoria, IL 61615 2017-12-04
1528586849 Leanne Runyon Speech-Language Pathologist 10723 Collett Dr., Peoria, IL 61615 2017-09-07
1467974196 Elizabeth A Mcleod Nurse Practitioner 8600 Illinois Route 91, Suite 130, Peoria, IL 61615 2017-07-14
1790223022 Janet Warner Counselor 8914 North Prarie Court, Peoria, IL 61615 2017-02-07
1437524022 Brooke Bisping Dietitian, Registered 7610 North Orange Prairie Road, Peoria, IL 61615 2015-12-08
1003292111 Crystal Ann Casper Dietitian, Registered 7610 N Orange Prarie Road, Peoria, IL 61615 2015-07-31
Find all providers in zip 61615

Taxonomy Information

Taxonomy Code 152W00000X
Grouping Eye and Vision Services Providers
Classification Optometrist

Taxonomy Definition

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1831701218 West Point Optical Group Optometrist 24775 N. Pleasant Pkwy, Peoria, AZ 85383 2020-08-18
1487175741 Mark William Wellman Optometrist 18431 N 91st Ave Ste 1, Peoria, AZ 85382-0817 2017-06-27
1255674313 John M. Rinehart, O.d., P.C. Optometrist 13260 N 94th Dr Ste 420, Peoria, AZ 85381-4241 2013-03-27
1912212960 Macarius, Max & Daniel, LLC Optometrist 2415 W Glen Ave, Peoria, IL 61614-4533 2010-08-15
1922242379 John P Gysin Od Optometrist 5901 N Prospect Rd Ste 11, Peoria, IL 61614-4337 2009-04-29
1912169962 Timothy G. Cundiff Optometrist 4900 N Glen Park Place Rd Ste C, Peoria, IL 61614-4685 2008-07-01
1396883401 Eye Boutique Inc Optometrist 2524 W Farrelly Ave, Peoria, IL 61615-3650 2007-02-01
1316098791 Jackson Romaine Bennett Jr. Optometrist 4530 N Brandywine Dr, Eyeglass World 12, Peoria, IL 61614-5570 2007-01-14
1487713160 Christopher James Parot Optometrist 15256 N.75th Ave., Suite 380, Peoria, AZ 85381 2006-12-08
1225196827 Richard Scott Stewart Optometrist 10006 W Happy Valley Rd, #1250, Peoria, AZ 85383-1235 2006-12-05
Find all providers in PEORIA

Competitor

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City PEORIA
Zip Code 61615

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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