Active NPIIndividual providerSole proprietor

Dr. Ryan P Shea, OD

Optometrist in Vineyard Haven, Massachusetts

NPI Number1720279250
Practice location
28 State Road, Vineyard Haven, MA 02568
Fax
508-696-8570
Last updated
October 13, 2023

Ryan P. Shea is an Optometrist based in Vineyard Haven, MA. Ryan P. Shea practices in Vineyard Haven, MA and has the professional credentials of OD. The NPI Number for Ryan P. Shea is 1720279250 and holds a License No. 4623 (MA). The current practice location address for Ryan P. Shea is 28 State Road, Vineyard Haven, MA 02568 and can be reached out via phone at 508-693-3517 and via fax at 508-696-8570.

Provider Profile Details

NPI Number
1720279250
Provider Name
Ryan P. Shea
Credential
OD
Provider Entity Type
Individual
Gender
Male
Address
28 State Road, Vineyard Haven, MA 02568
Phone Number
508-693-3517
Fax Number
508-696-8570
Primary Taxonomy
Optometrist · 152W00000X
Sole Proprietor
Yes
Provider Enumeration Date
August 8, 2007
Last Update Date
October 13, 2023
Certification Date
October 12, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
28 State Road
Vineyard Haven, MA 02568
Zip
02568
Phone Number
508-693-3517
Fax Number
508-696-8570
Vineyard Haven, MA 02568Get directions →

Provider Business Mailing Address Details

Address
Po Box 519
Vineyard Haven, MA 02568-0519
City
Vineyard Haven
State
MA
Zip
02568-0519
Phone Number
508-693-3517
Fax Number
508-696-8570

License Information

License Number
4623
License State
MA
Taxonomy
Optometrist · 152W00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Ryan P Shea, OD?

The NPI number of Dr. Ryan P Shea, OD is 1720279250. It was assigned on August 8, 2007 and is currently active in the NPPES registry.

What is the specialty of Dr. Ryan P Shea, OD?

Dr. Ryan P Shea, OD is registered under the primary taxonomy Optometrist (code 152W00000X), licensed in MA under license number 4623.

Where does Dr. Ryan P Shea, OD practice?

The practice location is 28 State Road, Vineyard Haven, MA 02568. The office can be reached at 508-693-3517 (phone) or 508-696-8570 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1720279250 directly on the NPPES registry website.

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