Provider Demographics
NPI:1558517979
Name:DOYLE, NICHOLAS RYAN (OD)
Entity Type:Individual
Prefix:DR
First Name:NICHOLAS
Middle Name:RYAN
Last Name:DOYLE
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
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Mailing Address - Street 1:24200 E SMOKY HILL RD
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80016-1381
Mailing Address - Country:US
Mailing Address - Phone:720-870-2828
Mailing Address - Fax:720-870-2117
Practice Address - Street 1:24200 E SMOKY HILL RD
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80016-1381
Practice Address - Country:US
Practice Address - Phone:720-870-2828
Practice Address - Fax:720-870-2117
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-18
Last Update Date:2012-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO2684152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist