Provider Demographics
NPI:1639335516
Name:HOLLINGSWORTH, RYAN C (OD)
Entity Type:Individual
Prefix:DR
First Name:RYAN
Middle Name:C
Last Name:HOLLINGSWORTH
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
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Mailing Address - Street 1:8601 SW 45TH AVE
Mailing Address - Street 2:
Mailing Address - City:AMARILLO
Mailing Address - State:TX
Mailing Address - Zip Code:79119-6565
Mailing Address - Country:US
Mailing Address - Phone:806-355-4407
Mailing Address - Fax:806-355-5855
Practice Address - Street 1:8601 SW 45TH AVE
Practice Address - Street 2:
Practice Address - City:AMARILLO
Practice Address - State:TX
Practice Address - Zip Code:79119-6565
Practice Address - Country:US
Practice Address - Phone:806-355-4407
Practice Address - Fax:806-355-5855
Is Sole Proprietor?:No
Enumeration Date:2008-07-31
Last Update Date:2015-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX7289T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist