NPI 1174413926

Ryan Damien Herron, OD

Practitioner Optometrist Manchester, CT

Practice location

Address: 1470d Pleasant Valley Rd, Manchester, CT 06042-8761
Phone: (860) 812-6267
Mailing address: 82 St Ives Way APT 34, Marlborough, MA 01752-5921

Registered specialties

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence 3411 (CT)

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Registry record

NPI: 1174413926
Entity type: Individual
Sex (as registered): Male
NPI issued: 3 Jul 2025
Record last updated: 3 Jul 2025

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.