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Contact Information

RYAN BECK
19400 108TH AVE SE
KENT, WA98031-0108
 Phone: 253-852-2120
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for RYAN BECK · (Male)

NPI Number 1104289792
Status Active
Credentials
Entity Individual
Enumeration date 03/31/2016
Last updated 03/20/2018 - About 8 years ago
Sole proprietor 1 Yes
Identifiers
  • WA License # OD60755918
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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