NPI 1104289792

Ryan Beck

Practitioner Optometrist Kent, WA

Practice location

Address: 19400 108th Ave SE, Kent, WA 98031-0108
Phone: (253) 852-2120
Mailing address: 6544 Radiance Blvd E, Fife, WA 98424

Registered specialties (2)

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence OD60755918 (WA)

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Student in an Organized Health Care Education/Training Program

Student, Health Care Taxonomy 390200000X

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Registry record

NPI: 1104289792
Entity type: Individual
Sex (as registered): Male
NPI issued: 31 Mar 2016
Record last updated: 20 Mar 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.