Individual provider Active NPI

Dawn Marlene Trybulski, OD

  • Optometrist
  • Ambler, PA
National Provider Identifier
1467605964
Registry record updated May 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG002152 Issued in PA
Practice address
716 N Bethlehem Pike Ste 100
Ambler, PA 19002-2656
Phone
(215) 237-5337
Fax
(215) 501-5070
NPI assigned
Oct 28, 2008
Sex
Female
Sole proprietor
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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG002152 PA Primary

Addresses

Primary practice location

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

Mailing address

716 N Bethlehem Pike Ste 100
Ambler, PA 19002-2656
Phone (215) 237-5337

Other names 1

  • Dawn Marlene D'Antonio Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090304000034 PA Practitioner - Optometry 3870659618 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

716 N Bethlehem Pike
Suite 100
Lower Gwynedd, PA 19002-2656
Phone (215) 237-5337

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery12

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Carty Eye Associates, LTD. CurrentSince Oct 15, 2008 Accepting new patients
Gwynedd Valley Eye Care PC Optometrist CurrentSince Aug 1, 2019 Accepting new patients

Locations

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

830 Old Lancaster Rd
Ste 100
Bryn Mawr, PA 19010
Phone (610) 527-0990

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

Interoperability endpoints

  • Direct secure messaging: dtrybulski@cartyeye.updoxdirect.com
  • Direct secure messaging: dawn.trybulski@direct.revolutionehr.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1225152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747267200000",
    "number": "1467605964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "716 N BETHLEHEM PIKE STE 100",
            "city": "AMBLER",
            "state": "PA",
            "postal_code": "190022656",
            "telephone_number": "215-237-5337",
            "fax_number": "215-501-5070"
        },
        {
            "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",
            "fax_number": "215-501-5070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRYBULSKI",
        "first_name": "DAWN",
        "middle_name": "MARLENE",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-28",
        "last_updated": "2025-05-15",
        "certification_date": "2025-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG002152",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DAWN",
            "last_name": "D'ANTONIO",
            "middle_name": "MARLENE",
            "credential": "O.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Ambler, PA

Sources for this page

Verify at the official NPI Registry.