NPIMap

Organization Active NPI

Kevin B Wynne OD PLLC

  • Durable Medical Equipment & Medical Supplies
  • Pittsford, NY
National Provider Identifier
1386818813
Registry record updated Apr 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
TUV005374-1 Issued in NY
Legal business name
KEVIN B WYNNE OD PLLC
Practice address
56 State St
Pittsford, NY 14534-2344
Phone
(585) 381-4640
NPI assigned
Apr 16, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2008

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

Authorized official

Name
Dr. Kevin Bradley Wynne, O.D.NPI 1598752784
Title
Optometrist
Phone
(585) 381-4640

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
Durable Medical Equipment & Medical Supplies 332B00000X TUV005374-1 NY Primary

Addresses

Primary practice location

56 State St
Pittsford, NY 14534-2344

Mailing address

56 State St
Pittsford, NY 14534-2344
Phone (585) 381-4640

National Provider Directory

National Provider Directory
Tax ID family
Kevin B Wynne OD PLLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1208304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208304000000",
    "number": "1386818813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56 STATE ST",
            "city": "PITTSFORD",
            "state": "NY",
            "postal_code": "145342344",
            "telephone_number": "585-381-4640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "56 STATE ST",
            "city": "PITTSFORD",
            "state": "NY",
            "postal_code": "145342344",
            "telephone_number": "585-381-4640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEVIN B WYNNE OD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-16",
        "last_updated": "2008-04-16",
        "status": "A",
        "authorized_official_last_name": "WYNNE",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "BRADLEY",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "585-381-4640",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NY",
            "license": "TUV005374-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsford, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2008; 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.