Mr. Ryan Wayne Brack is a Scottsboro, Alabama based male Optometrist with 27 years of experience in Optometry. He completed his graduation from Other in 1997. He may accept the Medicare-approved amount. Patients may be billed for more than the Medicare deductible and coinsurance. Active license number of Mr. Ryan Wayne Brack is S975TA537 for Optometry in Alabama. Mr. Ryan Wayne Brack 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:
Mr. Ryan Wayne Brack 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:
27+ years
Medical School Attended:
Other
Graduation Year:
1997
Gender:
Male
Accepts Medicare Assignment:
May Accept
Practice Address:
24833 John T Reid Pkwy, Scottsboro, Alabama, 35768-2340
Phone:
256-574-5698
Fax:
256-574-6939
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:
1658548789
Enrollment ID:
I20120112000693
NPI Number:
1609973379
NPI Enumeration Date:
17 Sep, 2006
NPI Last Update On:
08 Jul, 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 Mr. Ryan Wayne Brack are as mentioned below.
License Number
Specialization
State
Status
S975TA537
Optometry
Alabama
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 Mr. Ryan Wayne Brack has association with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Marx Optical Inc (4082733258)
6
Other Medical Identifiers:
Other legacy medical identifiers associated with Mr. Ryan Wayne Brack such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
51503656
Other
Alabama
BCBS OF AL
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
178 Tammy Gaines Ln, Huntsville, Alabama
Zip:
35811-8951
Phone Number:
256-746-0170
Fax Number:
256-574-6939
Patients can reach Mr. Ryan Wayne Brack at 24833 John T Reid Pkwy, Scottsboro, Alabama or can call to book an appointment on 256-574-5698. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.
Dr. Kevin J Gross, O.D. Speciality: Corneal and Contact Management Optometrist Address: 24020 John T Reid Pkwy, AL Phone: 256-574-3491 Fax: 256-259-5113