DR. RYAN WILLIAM COWBURN (NPI# 1669487252) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669487252 |
| Entity Type | Individual |
| Full Name | DR. RYAN WILLIAM COWBURN |
| Credential | O.D. |
| Practice Address |
2121 Shelly Dr Indiana PA 15701-2395 |
| Practice Telephone | 7243491237 |
| Practice Fax Number | 7244650127 |
| Mailing Telephone | 7243491237 |
| Mailing Fax Number | 7244650127 |
| Enumeration Date | 2006-07-30 |
| Last Update Date | 2009-07-31 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | OEG000276 | PA | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 001923214 | 05 |
| Street Address |
2121 SHELLY DR |
| City | INDIANA |
| State | PA |
| Zip Code | 15701-2395 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922089101 | Todd Michael Keppich | Optometrist | 2121 Shelly Dr, Indiana, PA 15701-2395 | 2005-11-07 |
| 1639470008 | Jamil Ahmed Md PC | Legal Medicine | 2121 Shelly Dr, Indiana, PA 15701-2395 | 2010-11-16 |
| 1437319944 | Ryan W Cowburn Od | Optometrist | 2121 Shelly Dr, Indiana, PA 15701-2395 | 2008-06-10 |
| 1972722056 | Michael Petras | Dentist | 2121 Shelly Dr, Indiana, PA 15701-2395 | 2007-04-25 |
| 1316084916 | Brian Garry Petras | Dentist | 2121 Shelly Dr, Indiana, PA 15701-2395 | 2007-01-31 |
| 1871512376 | Jamil Ahmed | Legal Medicine | 2121 Shelly Dr, Indiana, PA 15701-2395 | 2006-07-18 |
| 1407875909 | Durre Ahmed | Legal Medicine | 2121 Shelly Dr, Indiana, PA 15701-2395 | 2006-07-18 |
| 1609839570 | Samuel Ralph Lanzino | Dentist | 2121 Shelly Dr, Indiana, PA 15701-2395 | 2006-04-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518508811 | Paula A. Smulik | Pharmacist | 280 Indian Springs Rd Ste 125, Indiana, PA 15701 | 2019-10-08 |
| 1588143713 | William Aden Bendgen IIi | Counselor | 470 N 4th Street, Indiana, PA 15701 | 2018-08-08 |
| 1699266452 | Shiela Ikasilon Otwane | Nurse Practitioner | 1 Regency Square, 1524 Oakland Avenue, Indiana, PA 15701 | 2018-05-28 |
| 1881184745 | Samantha Nichcol Bennett | Social Worker | 793 Old Rte 119 Hwy U, Indiana, PA 15701 | 2018-05-16 |
| 1780193896 | Abbey Mae Hill | Counselor | 793 Old Rotue 119 Hwy N, Indiana, PA 15701 | 2017-09-21 |
| 1568819456 | Karissa Wess Angleson | Physician Assistant | Indiana Regional Medical Center Emergency Department, 835 Hospital Rd, Indiana, PA 15701 | 2016-05-20 |
| 1588020721 | Forefront Dermatology, S.c. | Dermatology | 120 I.r.m.c. Drive, Suite 130, Indiana, PA 15701 | 2016-01-04 |
| 1881069201 | Amanda J Orvosh | Counselor | 1163 Water St, Indiana, PA 15701 | 2015-12-10 |
| 1245602887 | Susan Marie Marchezak | Nurse Practitioner | 2128 Oakland Avenue, Indiana, PA 15701 | 2015-10-22 |
| 1538546353 | Hillary Beth Stitt | Counselor | 793 Old Rt 119 Hwy N, Community Guidance Center, Indiana, PA 15701 | 2015-04-30 |
| Find all providers in zip 15701 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184132987 | In Focus Eye Care LLC | Optometrist | 2340 Warren Rd Ste 107, Indiana, PA 15701-2413 | 2018-01-15 |
| 1144680646 | Gamuzza Inc | Optometrist | 2334 Oakland Ave Ste 66, Indiana, PA 15701-3348 | 2016-02-26 |
| 1003952722 | Kenneth Joseph Hue | Optometrist | 503 Airport Professional Center, 1380 Rt 286 Hwy East, Indiana, PA 15701 | 2007-01-29 |
| 1568555399 | Erika Lynne Szymusiak | Optometrist | 3100 Oakland Avenue, Indiana, PA 15701 | 2006-10-02 |
| 1801800081 | R L Wincek-bateson | Optometrist | 678 Philadelphia St, Indiana, PA 15701-3930 | 2006-07-27 |
| 1366484180 | Indian Springs Eye Associates, PC | Optometrist | 945 Indian Springs Rd, Indiana, PA 15701-3507 | 2006-06-13 |
| 1720045446 | Annette F. Farabaugh | Optometrist | 2334 Oakland Ave, Suite 1, Indiana, PA 15701-3348 | 2006-04-27 |
| 1437113008 | Thomas J. Fooks | Optometrist | Route 286 South, Indiana Mall, Indiana, PA 15701 | 2006-04-12 |
| 1306813407 | Paul J. Petras | Optometrist | 535 School St, Indiana, PA 15701-3035 | 2006-03-07 |
| 1497720965 | Charles M Tarnoff | Optometrist | 120 S 7th St, Indiana, PA 15701-2739 | 2006-02-20 |
| Find all providers in INDIANA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.