Provider Demographics
NPI:1336402445
Name:CORTE, RYAN C (OD)
Entity type:Individual
Prefix:
First Name:RYAN
Middle Name:C
Last Name:CORTE
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:PO BOX 5195
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28813-5195
Mailing Address - Country:US
Mailing Address - Phone:248-982-2051
Mailing Address - Fax:855-978-2116
Practice Address - Street 1:27 SCHENCK PKWY STE 140
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28803-5517
Practice Address - Country:US
Practice Address - Phone:828-684-3497
Practice Address - Fax:855-978-2116
Is Sole Proprietor?:No
Enumeration Date:2012-06-22
Last Update Date:2025-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2310152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL502720064OtherMEDICARE PTAN
IL046010555Medicaid