Kevin B Wynne Od Pllc in Pittsford - Eyewear Supplier

Kevin B Wynne Od Pllc - NPI 1114197431

Kevin B Wynne Od Pllc is a Eyewear Supplier in Pittsford, New York. Kevin B Wynne Od Pllc practices all healthcare services and medical treatments related to Eyewear Supplier. The NPI Number for Kevin B Wynne Od Pllc is 1114197431. The last update date is 2008-03-20.

Kevin B Wynne Od Pllc's current location address is 56 State St, Pittsford, New York. You can contact this provider via phone number 5853814640. The mailing address for Kevin B Wynne Od Pllc is 56 State St, Pittsford, New York. To know further, please read the information below!

Provider Profile Detail

Provider Organization Kevin B Wynne Od Pllc
Address 56 State St, Pittsford, New York
Phone Number 5853814640
Fax Number
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OFFICE MAN
Authorized Official Name Wynne Elizabeth
Telephone Number 5853814640

NPI Number Detail

NPI Number 1114197431
Provider Enumeration Date 2008-03-03
Last Updated Date 2008-03-20

Provider Mailing Address Detail

Address 56 State St
City Pittsford
State New York (NY)
Post Code 145342344
Phone Number 5853814640
Fax Number

Provider's Primary Taxonomy Detail

Speciality Eyewear Supplier
Taxonomy 332H00000X
Licence No 2722
Definition:
An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
14929A NY MEDICARE GROUP

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FAQs about Kevin B Wynne Od Pllc

What is the unique 10-digit identification code assigned to Kevin B Wynne Od Pllc by the Centers for Medicare & Medicaid Services?

The Kevin B Wynne Od Pllc has been issued the NPI (National Provider Identifier) 1114197431, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete address where Kevin B Wynne Od Pllc is physically located?

The Kevin B Wynne Od Pllc is situated at the following address: 56 State St, Pittsford, NY 145342344.

What is Kevin B Wynne Od Pllc's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Kevin B Wynne Od Pllc is Eyewear Supplier, and the taxonomy code that classifies this field of practice is 332H00000X.

On what date was the 1114197431 assigned to Kevin B Wynne Od Pllc?

The Kevin B Wynne Od Pllc was issued its 1114197431 on 2008-03-03, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the Kevin B Wynne Od Pllc's details last updated?

The information pertaining to the Kevin B Wynne Od Pllc, including its address, specialty, and other details, was most recently updated on 2008-03-20.

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