Wybrow Eyecare PC

Primary specialty

OptometristTaxonomy code 152W00000X

License

1484 Issued in AZ

Legal business name

WYBROW EYECARE PC

Practice address

3941 E Packard Ave
Kingman, AZ 86409-0857

Phone

(928) 692-2570

Fax

(928) 681-3545

NPI assigned

May 18, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Mason Matthew Wybrow, O.D.

Title

President

Phone

(928) 692-2570

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Rodney W Bauer, OD

  • Optometrist
  • Prescott, AZ
  • NPI 1811182264
  NPD (past)
• Renita Charlene Frost, OD

  • Optometrist
  • Prescott Valley, AZ
  • NPI 1558449983
  NPD (past)

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

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1649488909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3941 E PACKARD AVE",
            "city": "KINGMAN",
            "state": "AZ",
            "postal_code": "864090857",
            "telephone_number": "928-692-2570",
            "fax_number": "928-681-3545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3941 E PACKARD AVE",
            "city": "KINGMAN",
            "state": "AZ",
            "postal_code": "864090857",
            "telephone_number": "928-692-2570",
            "fax_number": "928-681-3545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WYBROW EYECARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WYBROW",
        "authorized_official_first_name": "MASON",
        "authorized_official_middle_name": "MATTHEW",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "928-692-2570",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "1484",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Teresa Garyun Woo
• Brittanie Marie Wood, PHARMD
• Sylvie Anne Woods
• Ethan Perry Wright, DO
• Cynthia Wumnaya-Agamba
• Paul Yamaguchi, M.D.
• Alexander Yates
• Jessica Yim, DO
• Robyn K Yost, MA
• Kelsie Raechal Young, PHARMD

• Optometrist in Kingman, AZ
• Providers in Kingman, AZ by specialty
• Optometrist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.