Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. RYAN TYLER FULLEN, OD
Active Sole ProprietorDR. RYAN TYLER FULLEN, OD is a Optometrist healthcare provider located in MANNING, South Carolina. NPI 1245528389 is currently active in the NPPES registry. Verify at CMS.
Optometrist · MANNING, SC
Registration Details
- NPI Number
- 1245528389
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 11, 2011 (15.086921879027 yrs)
- Last Updated
- Mar 3, 2015
- License
-
1659 (SC)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1774 PAXVILLE HWYMANNING, SC, 291025071Browse SC providers · Browse ZIP 29102
- Phone
- 8034352494
- Fax
- 8034358765
- Primary Specialty
-
Optometrist
152W00000X
Other Optometrist Providers in MANNING, SC
| Name | Credential | NPI |
|---|---|---|
| DR. ANGELO JOSEPH DEVIVO | OD | 1326040536 |
| DR. KELLI MARIE MCCARTNEY | O.D | 1811201692 |
| DR. KIMBERLY MARIE HUNT | O.D. | 1851763726 |
| ASHLEE FINNELL | OD | 1053806372 |
| MICHAEL DAVID SPULLER | OD | 1376161703 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.