| Edward A Ryan, MD | |
| 955 Main St, Ste 108, Winchester, MA 01890-1961 | |
| (787) 721-0447 | |
| (781) 721-2250 | 
| Full Name | Edward A Ryan | 
|---|---|
| Gender | Male | 
| Speciality | Ophthalmology | 
| Location | 955 Main St, Winchester, Massachusetts | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1083613186 | NPI | - | NPPES | 
| 2019191 | Medicaid | MA | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207W00000X | Ophthalmology | 71171 (Massachusetts) | Primary | 
| Entity Name | Lahey Clinic Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1538194980 PECOS PAC ID: 2264336528 Enrollment ID: O20031120000097 | 
| Entity Name | Mark A. Latina | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1508839291 PECOS PAC ID: 2567435019 Enrollment ID: O20040813000811 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Edward A Ryan, MD 340 Main St, Ste. 670, Worcester, MA 01608-1604 Ph: (508) 754-3566 | Edward A Ryan, MD 955 Main St, Ste 108, Winchester, MA 01890-1961 Ph: (787) 721-0447 | 
| Richard L Dallow, MD Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 15 Dix St, Winchester, MA 01890 Phone: 781-729-7401 Fax: 781-729-5160 | |
| Paul Albert Vernaglia, M.D. Ophthalmology Medicare: Medicare Enrolled Practice Location: 63 Shore Rd, Suite 22, Winchester, MA 01890 Phone: 781-721-1011 | |
| Dr. Kailenn Tsao, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 955 Main St, Suite 204, Winchester, MA 01890 Phone: 781-729-7401 Fax: 781-729-5160 |