Provider Demographics
NPI:1144459736
Name:STRIEGEL, RYAN LEE (OD)
Entity type:Individual
Prefix:DR
First Name:RYAN
Middle Name:LEE
Last Name:STRIEGEL
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 931
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSBURG
Mailing Address - State:IA
Mailing Address - Zip Code:52361-0931
Mailing Address - Country:US
Mailing Address - Phone:319-668-8000
Mailing Address - Fax:319-668-8002
Practice Address - Street 1:519 COURT ST
Practice Address - Street 2:
Practice Address - City:WILLIAMSBURG
Practice Address - State:IA
Practice Address - Zip Code:52361
Practice Address - Country:US
Practice Address - Phone:319-668-8000
Practice Address - Fax:319-668-8002
Is Sole Proprietor?:No
Enumeration Date:2009-07-06
Last Update Date:2010-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA002463152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist