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

Ryan Widdison, OD

Individual provider Optometrist · NPI 1639552169

Ryan Widdison, OD is an Optometry in Kingman, Arizona. Qualified in 2015, 11 years ago. Practices with Mohave Eye Centers Ltd, a 9-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
11
Licensed in
AZ
In the registry since
2015
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

See every abbreviation used in this directory →

Practice location Address checks out

1925 Florence Ave
Kingman, AZ 86401-4617
Phone: (928) 753-2106
Fax: (928) 753-4283
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 2066 (AZ)

Record details

NPI number1639552169
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorNo
NPI enumeratedJuly 1, 2015
Last updated in NPPESJuly 1, 2015
Mailing address1925 Florence Ave, Kingman, AZ 86401-4617

Medicare enrollment

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

Medicare specialtyOPTOMETRY
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Mohave Eye Centers Ltd. — 9 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Kingman