Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Corey Douglas Ryan, OD

Individual provider Optometrist · NPI 1699669291

Dr. Corey Douglas Ryan, OD is an Optometry in Watertown, New York. Qualified in 2025, 1 year ago. Practices with Costello Eye Physicians and Surgeons PLLC, an 11-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
1
Licensed in
NY
In the registry since
2025
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

53 Public Sq
Watertown, NY 13601-2174
Phone: (315) 681-6379
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence ORT011296 (NY)

Record details

NPI number1699669291
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorNo
NPI enumeratedJune 6, 2025
Last updated in NPPESMarch 11, 2026
Certification dateMarch 11, 2026
Mailing address53 Public Sq Ste 102, Watertown, NY 13601-2674

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Costello Eye Physicians And Surgeons Pllc — 11 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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