Ryan Lynn Von Holten O.D.

NPI 1013976042 - Optometrist - 152W00000X

NPI Details
NPI 1013976042
Gender Male
Enumeration Date 03/20/2006
Last Updated 12/12/2013
Entity Type Individual
Active Over 10 years ago
Practice Location
25824 W EAMES ST
CHANNAHON IL, 60410-5313, US
Phone (815) 521-9950
Fax
Business Location
24541 S BLACKHAWK DR
CHANNAHON IL, 60410-9303, US
Phone (815) 922-3545
Fax
Toxanomy
Taxonomy Code 152W00000X
License State Illinois
License Number 046-009558
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According to our database, Dr. Ryan Lynn Von Holten O.D. NPI is 1013976042, taxonomy code is 152W00000X and license number is 046-009558, license state is located at Illinois. Ryan Lynn Von Holten O.D. physically located at 25824 W Eames St, Channahon IL, 60410-5313. NPI Number Ryan Lynn Von Holten O.D. has the Individual type.

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1013976042 NPI number is provided on an as is basis without warranty of any kind. 1013976042 is maintained by the National Plan & Provider Enumeration System. The contents of Ryan Lynn Von Holten O.D. are for informational purposes only.