Kevin B. Wynne, O.D.

LBN: Kevin B. Wynne, O.D.
Kevin B. Wynne, O.D. is an health care organization with primary practice located at 1524 Culver Rd , Rochester NY 14609-4241. The organization recently has only one registered license in Suppliers / Eyewear Supplier (Equipment, not the service), which is considered as the primary health care specialty. Kevin B. Wynne, O.D. can be contacted via phone (585) 654-9200, or through Wynne, Kevin Bradley via phone (585) 654-9200.

Contact Information

Primary practice address
1524 Culver Rd Rochester NY 14609-4241
Phone: (585) 654-9200
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Wynne, Kevin Bradley Doctor of Optometry (OD)
Phone: (585) 654-9200

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Eyewear Supplier (Equipment, not the service) 332H00000X V005374 New York

Profile Details

NPI number 1275658924
LBN Legal business name Kevin B. Wynne, O.D.
DBA Doing business as
Authorized official Wynne, Kevin Bradley Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 20th, 2007
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1275658924 NPPES
New York Other G0187194590 BLUE CHOICE GROUP NUMBER

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