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General NPI Number Information
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NPI Number | 1023360047
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Entity Type | Organization
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Legal Business Name | RYAN DUGAN EYE CARE, LLC
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Dates
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Enumeration Date | 10/15/2012
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Last Update Date | 03/12/2025
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Provider Practice Location Address
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Address Line | 228 ANDALE RD
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City | ANDALE
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State | KS
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Zip | 67001-9656
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Country | US
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Telephone | 316-444-2000
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Fax | 316-445-2600
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Provider Business Mailing Address
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Address Line | 228 ANDALE RD
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City | ANDALE
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State | KS
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Zip | 67001-9656
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Country | US
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Telephone | 316-444-2000
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. RYAN MICHAEL DUGAN
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Credential | O.D.
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Telephone | 316-393-8872
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 1939
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License Number State | KS
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