Provider Demographics
NPI:1326247552
Name:MCBEE, RYAN THOMAS (OD)
Entity Type:Individual
Prefix:DR
First Name:RYAN
Middle Name:THOMAS
Last Name:MCBEE
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3557 RIDGEWOOD DR
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15235-5231
Mailing Address - Country:US
Mailing Address - Phone:412-584-4755
Mailing Address - Fax:
Practice Address - Street 1:9970 MOUNTAIN VIEW DR
Practice Address - Street 2:SUITE 200
Practice Address - City:WEST MIFFLIN
Practice Address - State:PA
Practice Address - Zip Code:15122-2474
Practice Address - Country:US
Practice Address - Phone:412-653-3080
Practice Address - Fax:412-650-8860
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-17
Last Update Date:2012-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVNV585152W00000X
PAOEG002446152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA256601EVXMedicare PIN
NV104402Medicare PIN