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Kevin B Wynne Od Pllc
Eyewear Supplier in Pittsford, New York
NPI 1114197431

Kevin B Wynne Od Pllc is a Eyewear Supplier based in Pittsford, NY. Kevin B Wynne Od Pllc practices in Pittsford, NY. The NPI Number for Kevin B Wynne Od Pllc is 1114197431 and holds a License No. 002722 (New York).

The current practice location address for Kevin B Wynne Od Pllc is 56 State St, Pittsford, NY and can be reached out via phone at 585-381-4640.

Location: 56 State St, Pittsford, NY, 14534-2344
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1114197431
Provider Name
Kevin B Wynne Od Pllc
Credential
Provider Entity Type
Organization
Address
56 State St, Pittsford, NY, 14534-2344
Phone Number
585-381-4640
Fax Number
Provider Enumeration Date
03/03/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
14929A 01 NY MEDICARE GROUP
institution
Provider Business Practice Location Address Details
Address
56 State St
City
Pittsford
State
New York
Zip
14534-2344
Phone Number
585-381-4640
Fax Number
person
Provider Business Mailing Address Details
Address
56 State St
City
Pittsford
State
New York
Zip
14534-2344
Phone Number
585-381-4640
Fax Number
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Eyewear Supplier
Speciality
-
Taxonomy
332H00000X
License No.
002722 (New York)
Definition
An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.
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