Dr Bryan M Wolynski OD PC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

DR BRYAN M WOLYNSKI OD PC

Practice address

305 E 55TH St
Suite 105
New York, NY 10022-4148

Phone

(212) 375-1001

Fax

(212) 375-1105

NPI assigned

Feb 7, 2017

Last updated

Feb 7, 2017By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Bryan M Wolynski, OD

Title

Owner

Phone

(212) 375-1001

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1486425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486425600000",
    "number": "1114465408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 EAST 83RD STREET",
            "address_2": "#4A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100224148",
            "telephone_number": "212-375-1001",
            "fax_number": "212-375-1105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 E 55TH ST",
            "address_2": "SUITE 105",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100224148",
            "telephone_number": "212-375-1001",
            "fax_number": "212-375-1105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR BRYAN M WOLYNSKI OD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-07",
        "last_updated": "2017-02-07",
        "status": "A",
        "authorized_official_last_name": "WOLYNSKI",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "212-375-1001",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Optometrist in New York, NY
• Providers in New York, NY by specialty
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.