Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. KELLY NICOLE WAWRYK, OD
Active Sole ProprietorDR. KELLY NICOLE WAWRYK, OD is a Optometrist healthcare provider located in MAPLE GROVE, Minnesota. NPI 1811636442 is currently active in the NPPES registry. Verify at CMS.
Optometrist · MAPLE GROVE, MN
Registration Details
- NPI Number
- 1811636442
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 1, 2022 (4.1849589401777 yrs)
- Last Updated
- Jun 16, 2022
- License
-
3792 (MN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
14800 99TH AVE N APT 440MAPLE GROVE, MN, 553697585Browse MN providers · Browse ZIP 55369
- Phone
- 5037157650
- Primary Specialty
-
Optometrist
152W00000X
Other Optometrist Providers in MAPLE GROVE, MN
| Name | Credential | NPI |
|---|---|---|
| SCOTT A FRICK | OD | 1043214091 |
| KATIE E OLINECK | OD | 1669476610 |
| DR. BRIAN J HAMANN | OD | 1700864667 |
| MRS. MICHELLE MARIE MARTIN | O.D. | 1386652907 |
| REBECCA LOERZEL | O.D. | 1396848206 |
| DR. BRAD ALAN WEEKS | O.D. | 1073694873 |
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.