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

DR. EDWARD STEVEN WYGONIK, O.D.

Active Sole Proprietor

DR. EDWARD STEVEN WYGONIK, O.D. is a Optometrist healthcare provider located in SAINT JOHNS, Florida. NPI 1306819636 is currently active in the NPPES registry. Verify at CMS.

Optometrist · SAINT JOHNS, FL

Registration Details

NPI Number
1306819636
Provider Type
Individual
Gender
Male
NPI Issued
Feb 8, 2006 (20.536800676639 yrs)
Last Updated
Jun 1, 2009
Licenses
OPC 4250 (FL)
OPC 4250 (FL)
OPC 4250 (FL)
OPC 4250 (FL)
OEG-000812 (PA)
Sole Proprietor
Yes

Practice Information

Address
108 DRUMELLAN CT
SAINT JOHNS, FL, 322597222
Browse FL providers · Browse ZIP 32259
Phone
4127195926
Primary Specialty
Optometrist
152W00000X
Additional Specialty
Pediatric Optometrist
Additional Specialty
Sports Vision Optometrist
Additional Specialty
Optometrist
Additional Specialty
Optometrist

Other Optometrist Providers in SAINT JOHNS, FL

Name Credential NPI
DR. HARRY DAVID WEINSTEIN OD 1568540870
ROMANDA BASALY DEMETRIOS O.D. 1003243502
DR. JORDAN PATRICK DAU O.D. 1104206325
DR. MADELINE ROSE DAU O.D. 1013397231
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.