MEDICARE: RYAN CEDENO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist	2239	KS

General Provider Information

NPI Number	:	1659136711
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RYAN CEDENO

Provider Business Mailing Address
First Line	:	4801 E LINWOOD BLVD
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64128-2226
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2521 N BROADWAY ST
Second Line	:
City	:	PITTSBURG
State	:	KS
Zip	:	66762-2620
Country	:	US
Telephone Number	:	620-235-1737
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/19/2024
Last Update Date	:	07/15/2025

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Directions to “ RYAN CEDENO ” Practice Location

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