Ryan Shelton Wally in Oxford - Optometrist
Ryan Shelton Wally - NPI 1851555106
Ryan Shelton Wally is a Optometrist in Oxford, Mississippi. Ryan Shelton Wally practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Ryan Shelton Wally is 1851555106. The last update date is 2023-10-20.
Ryan Shelton Wally's current location address is 2167 S Lamar Blvd, Oxford, Mississippi. You can contact this provider via phone number 6622346683 and fax number 6622346683. The mailing address for Ryan Shelton Wally is 2167 S Lamar Blvd, Oxford, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ryan Shelton Wally |
|---|---|
| Address | 2167 S Lamar Blvd, Oxford, Mississippi |
| Phone Number | 6622346683 |
| Fax Number | 6622346683 |
| Sole Proprietor | Y |
| Credentials | O.D. |
NPI Number Detail
| NPI Number | 1851555106 |
|---|---|
| Provider Enumeration Date | 2008-07-16 |
| Last Updated Date | 2023-10-20 |
Provider Mailing Address Detail
| Address | 2167 S Lamar Blvd |
|---|---|
| City | Oxford |
| State | Mississippi (MS) |
| Post Code | 386555223 |
| Phone Number | 6622346683 |
| Fax Number | 6622346683 |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
| Licence No | 796 |
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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 |
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What is the unique 10-digit identifier code assigned to Ryan Shelton Wally by the Centers for Medicare & Medicaid Services?
The Ryan Shelton Wally has been issued the NPI (National Provider Identifier) 1851555106 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Ryan Shelton Wally's facilities are situated?
The facilities of Ryan Shelton Wally are physically located at the following address: 2167 S Lamar Blvd, Oxford, MS, 386555223.
What is Ryan Shelton Wally's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Ryan Shelton Wally's specialized field of practice is Optometrist, and the corresponding taxonomy code that categorizes this area of specialization is 152W00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1851555106 to Ryan Shelton Wally?
The Centers for Medicare & Medicaid Services assigned the 1851555106 to Ryan Shelton Wally on 2008-07-16.
As of what date were the details related to Ryan Shelton Wally most recently updated or revised?
The information pertaining to Ryan Shelton Wally, including its address, specialty, and other relevant details, was last updated or revised on 2023-10-20.
NPI Number: 1356344279
Address: Mount St. Mary's Hospital Laboratory, Lewiston, NY