Organization Active NPI

Gwynedd Valley Eye Care PC

  • Optometrist
  • Ambler, PA
National Provider Identifier
1265905590
Registry record updated May 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
GWYNEDD VALLEY EYE CARE PC
Practice address
716 N Bethlehem Pike Ste 100
Ambler, PA 19002-2656
Phone
(215) 237-5337
NPI assigned
Jan 9, 2019
Last updated
May 15, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2025

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

Authorized official

Name
Dawn Trybulski, ODNPI 1467605964
Title
President
Phone
(215) 847-9983

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X Primary

Addresses

Primary practice location

716 N Bethlehem Pike Ste 100
Ambler, PA 19002-2656

Mailing address

651 E Township Line Rd Unit 2137
Blue Bell, PA 19422-5100
Phone (215) 237-5337

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190813000280 PA Part B Supplier - Clinic/Group Practice 7315274495 Receives reassigned benefits from 1 practitioner
Practice locations: Lower Gwynedd, PA

National Provider Directory

National Provider Directory

Locations

651 E Township Line Rd
Unit 2137
Blue Bell, PA 19422

716 N Bethlehem Pike
Ste 100
Lower Gwynedd, PA 19002
Phone (215) 237-5337

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1546992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747267200000",
    "number": "1265905590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "651 E TOWNSHIP LINE RD UNIT 2137",
            "city": "BLUE BELL",
            "state": "PA",
            "postal_code": "194225100",
            "telephone_number": "215-237-5337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "716 N BETHLEHEM PIKE STE 100",
            "city": "AMBLER",
            "state": "PA",
            "postal_code": "190022656",
            "telephone_number": "215-237-5337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GWYNEDD VALLEY EYE CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-09",
        "last_updated": "2025-05-15",
        "certification_date": "2025-05-15",
        "status": "A",
        "authorized_official_last_name": "TRYBULSKI",
        "authorized_official_first_name": "DAWN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "215-847-9983",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ambler, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.