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General NPI Number Information
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NPI Number | 1679517957
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Entity Type | Organization
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Legal Business Name | RYAN D IMLER OD PC
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Dates
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Enumeration Date | 06/16/2006
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Last Update Date | 09/25/2025
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Provider Practice Location Address
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Address Line | 108 OLDE FARM OFFICE RD
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City | DUNCANSVILLE
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State | PA
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Zip | 16635-9417
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Country | US
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Telephone | 814-695-3141
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Fax | 814-696-4780
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Provider Business Mailing Address
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Address Line | 108 OLDE FARM OFFICE RD
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City | DUNCANSVILLE
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State | PA
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Zip | 16635-9417
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Country | US
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Telephone | 814-695-3141
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Fax | 814-696-4780
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Authorized Official
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Title or Position | PRESIDENT
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Name | RYAN D IMLER
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Credential | O.D.
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Telephone | 814-695-3141
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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 |
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License Number State |
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