Ryan L. Isaacson, O.D., PLLC
Optometrist in Woodbury, MN. Organization (NPI-2).
NPI number1154885697
StatusActive
Last updated in NPPESMar 5, 2020
Details
- NPI
- 1154885697
- Entity type
- Organization (NPI-2)
- Legal business name
- Ryan L. Isaacson, O.D., PLLC
- Organization subpart
- No
- Enumeration date
- Jan 29, 2019
- Certification date
- Mar 5, 2020
- Last updated
- Mar 5, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | – | – | Yes |
Practice location
1502 Woodlane DrWoodbury, MN 55125-2221
Phone 651-735-9550 · Fax 651-735-9322
Mailing address
1502 Woodlane DrWoodbury, MN 55125-2221
Phone 651-735-9550 · Fax 651-735-9322
Authorized official
Ryan Isaacson
Owner / Optometrist
9064587063
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All 44 Optometrist providers in Woodbury · All 3,087 providers in Woodbury
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