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Kevin B Wynne Od Pllc
Eyewear Supplier in Pittsford, New York
NPI 1922277938

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 1922277938 and holds a License No. TUV005374-1 (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
1922277938
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
02/23/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
P017155959 01 NY EXCELLUS
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.
TUV005374-1 (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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