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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. DEJUAN LAMONT WYNN, OPTICIAN

Active

MR. DEJUAN LAMONT WYNN, OPTICIAN is a Optician, Dispensing healthcare provider located in NEW YORK, New York. NPI 1184805764 is currently active in the NPPES registry. Verify at CMS.

Optician, Dispensing · NEW YORK, NY

Registration Details

NPI Number
1184805764
Provider Type
Individual
Gender
Male
NPI Issued
Nov 24, 2007 (18.534962532011 yrs)
Last Updated
Nov 24, 2007
License
164759 (NY)

Practice Information

Address
167 LENOX AVE
NEW YORK, NY, 100261320
Browse NY providers · Browse ZIP 10026
Phone
2122226100
Fax
2122226606
Primary Specialty
Optician, Dispensing
156FX1800X

Other Optician, Dispensing Providers in NEW YORK, NY

Name Credential NPI
MR. ROBERT NAHASS 1073576187
MR. JOSEPH GUERRA 1922052703
EDWARD TODD KENT OPTICIAN 1114954344
MRS. REGINA MARIE GLEESON BENTZ D.O 1588671150
MR. RICHARD CHAVIS 1598867418
LEONID GOLDSHMIDT OPTICIAN 1932296878
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.