Edward A Ryan, MD | |
955 Main St, Ste 108, Winchester, MA 01890-1961 | |
(787) 721-0447 | |
(781) 721-2250 |
Full Name | Edward A Ryan |
---|---|
Gender | Male |
Speciality | Ophthalmology |
Location | 955 Main St, Winchester, Massachusetts |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1083613186 | NPI | - | NPPES |
2019191 | Medicaid | MA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207W00000X | Ophthalmology | 71171 (Massachusetts) | Primary |
Entity Name | Lahey Clinic Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538194980 PECOS PAC ID: 2264336528 Enrollment ID: O20031120000097 |
Entity Name | Mark A. Latina |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508839291 PECOS PAC ID: 2567435019 Enrollment ID: O20040813000811 |
Mailing Address | Practice Location Address |
---|---|
Edward A Ryan, MD 340 Main St, Ste. 670, Worcester, MA 01608-1604 Ph: (508) 754-3566 | Edward A Ryan, MD 955 Main St, Ste 108, Winchester, MA 01890-1961 Ph: (787) 721-0447 |
Richard L Dallow, MD Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 15 Dix St, Winchester, MA 01890 Phone: 781-729-7401 Fax: 781-729-5160 | |
Paul Albert Vernaglia, M.D. Ophthalmology Medicare: Medicare Enrolled Practice Location: 63 Shore Rd, Suite 22, Winchester, MA 01890 Phone: 781-721-1011 | |
Dr. Kailenn Tsao, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 955 Main St, Suite 204, Winchester, MA 01890 Phone: 781-729-7401 Fax: 781-729-5160 |