| Doctor Name: | MR. RYAN ANTHONY COMMET |
| NPI Number: | 1205251782 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | ABO-AC |
| License Number: | |
| Business Practice Address: | 203 E 9 Mile Rd Ferndale, MI - 482202078 |
| Business Phone Number: | 2485483636 |
| Business Fax Number: | 2485483658 |
| Mailing Address: | 203 E 9 Mile Rd, FERNDALE |
| State: | MI |
| Postal Code: | 482202078 |
| Phone Number: | 2487961126 |
| Fax Number: | 2485483658 |
| NPI Enumeration Date: | 02/20/2014 |
| NPI Last Update Date: | 02/20/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 156FX1800X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Eye and Vision Services Providers |
| Taxonomy Classification: | Technician/Technologist |
| Taxonomy Specialization: | Optician |
| Taxonomy Definition: | |