Dr. Ryan Kyle Petty is a Paoli, Indiana based male Optometrist with 21 years of experience in Optometry. He completed his graduation from Indiana University - School Of Optometry in 2003. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Dr. Ryan Kyle Petty is 18003259A for Optometry in Indiana. Dr. Ryan Kyle Petty examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. He completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. He is a eye health care professional who is state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
Complete Profile:
Dr. Ryan Kyle Petty speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Optometry
Credentials:
O.D.
Experience:
21+ years
Medical School Attended:
Indiana University - School Of Optometry
Graduation Year:
2003
Gender:
Male
Accepts Medicare Assignment:
Yes
Practice Address:
488 W Hospital Rd, Paoli, Indiana, 47454-8807
Phone:
812-723-4752
Fax:
812-723-4753
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
5597944231
Enrollment ID:
I20110126000898
NPI Number:
1174591960
NPI Enumeration Date:
09 Mar, 2006
NPI Last Update On:
11 Dec, 2007
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Ryan Kyle Petty are as mentioned below.
License Number
Specialization
State
Status
18003259A
Optometry
Indiana
Primary
Group Practice:
Group practices are run by a group of physicians who share their premises and other resources. Following list states all the group name
with which Dr. Ryan Kyle Petty has association with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Southern Indiana Eye Care Llc (0840505285)
2
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Ryan Kyle Petty such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
200460220A
Medicaid
Indiana
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
488 W Hospital Rd, Paoli, Indiana
Zip:
47454-8807
Phone Number:
812-723-4752
Fax Number:
812-723-4753
Patients can reach Dr. Ryan Kyle Petty at 488 W Hospital Rd, Paoli, Indiana or can call to book an appointment on 812-723-4752. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 September, 2024.