Edward G Bryant IV Od Pllc

NPI #1912241175 in Ithaca, New York

Provider Information

NPI Number: 1912241175
Entity Type: Organization
Organization Name: Edward G Bryant IV Od Pllc
Primary Specialty: Optometrist
Enumeration Date: Nov 12, 2012
Last Updated: Apr 16, 2019

Practice Location

Address: 1284 DRYDEN ROAD
City: Ithaca
State: New York
ZIP Code: 14850-8795
Phone: (607) 257-1066

Authorized Official

Name: DR. EDWARD G BRYANT IV IV, OD
Title: OWNER
Phone: (607) 257-1066

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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