Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. RYAN SCOTT THOELE, O.D.
ActiveDR. RYAN SCOTT THOELE, O.D. is a Optometrist healthcare provider located in MT ZION, Illinois. NPI 1700144029 is currently active in the NPPES registry. Verify at CMS.
Optometrist · MT ZION, IL
Registration Details
- NPI Number
- 1700144029
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 24, 2012 (14.164208237012 yrs)
- Last Updated
- Feb 22, 2018
- Licenses
-
046010469 (IL)2013000824 (MO)
Practice Information
- Address
-
1505 W MAIN STMT ZION, IL, 625491300Browse IL providers · Browse ZIP 62549
- Phone
- 2178643221
- Fax
- 2175964670
- Primary Specialty
-
Optometrist
152W00000X
- Additional Specialty
- Optometrist
Other Optometrist Providers in MT ZION, IL
| Name | Credential | NPI |
|---|---|---|
| DR. TIMOTHY DELBERT BUSEY | OD | 1336284736 |
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.