Wynne, Kevin Bradley

Wynne, Kevin Bradley is an individual health care provider with primary practice located at 56 State St , Pittsford NY 14534-2344. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Wynne, Kevin Bradley can be contacted via phone (585) 381-4640.

Contact Information

Primary practice address
56 State St Pittsford NY 14534-2344
Phone: (585) 381-4640
Fax: (585) 381-3322
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X TUV005374 New York

Profile Details

NPI number 1598752784
LBN Legal business name Wynne, Kevin Bradley
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 3rd, 2005
Last updated Oct 17th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1598752784 NPPES
New York Other 102002CS PREFERRED CARE
New York Other 14929A PREFERRED CARE
New York Other PO10005374 PREFERRED CARE
New York Other 7100219 PREFERRED CARE

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