Kevin B. Wynne, O.d.

NPI 1275658924 - Eyewear Supplier (Equipment, not the service) - 332H00000X

NPI Details
NPI 1275658924
Enumeration Date 03/20/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name KEVIN BRADLEY KEVIN
Position OPTOMETRIST
Phone (585) 654-9200
Fax
Practice Location
1524 CULVER RD
ROCHESTER NY, 14609-4241, US
Phone (585) 654-9200
Fax
Business Location
1524 CULVER RD
ROCHESTER NY, 14609-4241, US
Phone (585) 654-9200
Fax
Toxanomy
Taxonomy Code 332H00000X
License State New York
License Number V005374
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According to our database, Kevin B. Wynne, O.d. NPI is 1275658924, taxonomy code is 332H00000X and license number is V005374, license state is located at New York. Kevin B. Wynne, O.d. physically located at 1524 Culver Rd, Rochester NY, 14609-4241. NPI Number 1033115704 has the healthcare provider type.

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1275658924 NPI number is provided on an as is basis without warranty of any kind. 1275658924 is maintained by the National Plan & Provider Enumeration System. The contents of Kevin B. Wynne, O.d. are for informational purposes only.