Kevin B Wynne Od Pllc in Pittsford - Eyewear Supplier

Kevin B Wynne Od Pllc - NPI 1922277938

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 1922277938. The last update date is 2022-10-17.

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 OPTOMETRIS
Authorized Official Name Wynne Bradley Kevin
Credentials O.D.
Telephone Number 5853814640

NPI Number Detail

NPI Number 1922277938
Provider Enumeration Date 2008-02-23
Last Updated Date 2022-10-17

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 TUV005374-1
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
P017155959 NY EXCELLUS
14929A NY MEDICARE GROUP

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FAQs about Kevin B Wynne Od Pllc

What is the Kevin B Wynne Od Pllc's 1922277938?

The Kevin B Wynne Od Pllc's NPI (National Provider Identifier) Number is 1922277938. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where Kevin B Wynne Od Pllc's facilities are situated?

The facilities of Kevin B Wynne Od Pllc are physically located at the following address: 56 State St, Pittsford, NY, 145342344.

What is the area of specialization for Kevin B Wynne Od Pllc, and what is the corresponding taxonomy classification code for this field?

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

On what date did the Centers for Medicare & Medicaid Services issue the 1922277938 to Kevin B Wynne Od Pllc?

The Kevin B Wynne Od Pllc received its 1922277938 assignment from the Centers for Medicare & Medicaid Services on 2008-02-23.

When was the Kevin B Wynne Od Pllc's information last updated?

The Kevin B Wynne Od Pllc's information was last updated on 2022-10-17.

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