Kevin B. Wynne, O.D. in Rochester - Eyewear Supplier
Kevin B. Wynne, O.D. - NPI 1275658924
Kevin B. Wynne, O.D. is a Eyewear Supplier in Rochester, New York. Kevin B. Wynne, O.D. practices all healthcare services and medical treatments related to Eyewear Supplier. The NPI Number for Kevin B. Wynne, O.D. is 1275658924. The last update date is 2020-08-22.
Kevin B. Wynne, O.D.'s current location address is 1524 Culver Rd, Rochester, New York. You can contact this provider via phone number 5856549200. The mailing address for Kevin B. Wynne, O.D. is 1524 Culver Rd, Rochester, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Kevin B. Wynne, O.D. |
|---|---|
| Address | 1524 Culver Rd, Rochester, New York |
| Phone Number | 5856549200 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OPTOMETRIS |
|---|---|
| Authorized Official Name | Wynne Bradley Kevin |
| Credentials | O.D. |
| Telephone Number | 5856549200 |
NPI Number Detail
| NPI Number | 1275658924 |
|---|---|
| Provider Enumeration Date | 2007-03-20 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 1524 Culver Rd |
|---|---|
| City | Rochester |
| State | New York (NY) |
| Post Code | 146094241 |
| Phone Number | 5856549200 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Eyewear Supplier |
|---|---|
| Taxonomy | 332H00000X |
| Licence No | V005374 |
|
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 |
|---|---|---|---|
| G0187194590 | NY | BLUE CHOICE GROUP NUMBER |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Kevin B. Wynne, O.D. by the Centers for Medicare & Medicaid Services?
The Kevin B. Wynne, O.D. has been issued the NPI (National Provider Identifier) 1275658924 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Where is the Kevin B. Wynne, O.D. located?
The Kevin B. Wynne, O.D. is located at 1524 Culver Rd, Rochester, NY 146094241.
What is the Kevin B. Wynne, O.D.'s specialty and taxonomy code?
The Kevin B. Wynne, O.D.'s specialty is Eyewear Supplier, and the corresponding taxonomy code is 332H00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1275658924 to Kevin B. Wynne, O.D.?
The Centers for Medicare & Medicaid Services assigned the 1275658924 to Kevin B. Wynne, O.D. on 2007-03-20.
As of what date were the details pertaining to Kevin B. Wynne, O.D. last refreshed?
The information related to the Kevin B. Wynne, O.D., including its address, specialty, and other relevant details, was last updated on 2020-08-22.