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

Dr. Ryan Holiday, OD

Individual provider Optometrist · NPI 1720712854

Dr. Ryan Holiday, OD is an Optometry in Albuquerque, New Mexico. Graduated from Southern College of Optometry in 2022, 4 years ago. Practices with Pueblo of Isleta, a 13-clinician group and accepts Medicare assignment. Licensed in Colorado, New Mexico and Utah.

Years since qualifying
4
Trained at
Southern College of Optometry
Licensed in
CO, NM, UT
In the registry since
2022
Specialties on file
3
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

1 Sagebrush St SW
Albuquerque, NM 87105-3942
Phone: (505) 869-4080
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence OPT-2023-0001 (NM)
Optometrist Taxonomy 152W00000X · Licence OPT.0003825 (CO)
Optometrist Taxonomy 152W00000X · Licence 12844144-9934 (UT)

Record details

NPI number1720712854
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorNo
NPI enumeratedJuly 14, 2022
Last updated in NPPESFebruary 27, 2024
Certification dateFebruary 27, 2024
Mailing address1 Sagebrush St Sw, Albuquerque, NM 87105-3942

Medicare enrollment

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

Medicare specialtyOPTOMETRY
Medical schoolSOUTHERN COLLEGE OF OPTOMETRY
Graduated 2022 (4 years in practice)
Group practice Pueblo Of Isleta — 13 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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