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DR. KELLY NICOLE WAWRYK OD
NPI 1811636442
Optometrist in Maple Grove, MN

Active since June 01, 2022
14800 99TH AVE N APT 440, MAPLE GROVE, MN 55369(503) 715-7650 Get Directions Write a Review

NPPES record last updated: June 16, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Kelly Nicole Wawryk Od NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KELLY NICOLE WAWRYK OD (NPI 1811636442) is an individual optometrist in Maple Grove, Minnesota, licensed in Minnesota (3792) and active in the NPI registry since June 2022.

NPPES Registry Identity

NPI1811636442
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDR. KELLY NICOLE WAWRYKCredential: OD
Location Address14800 99TH AVE N APT 440Maple Grove, MN 55369-7585
Mailing Address13889 Ridgedale DrMinnetonka, MN 55305-1768
Phone(503) 715-7650
Sole ProprietorYes
Enumeration DateJune 1, 2022
Last NPPES UpdateJune 16, 2022
NPPES CertifiedJune 16, 2022
✔ NPI 1811636442 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in MN · 3792
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
14800 99TH AVE N APT 440, Maple Grove, MN 55369
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana.Insurance ›

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelly Wawryk's NPI number?

The NPI number for Kelly Wawryk is 1811636442. It was assigned to this individual provider in the NPPES registry on June 1, 2022.

Where is Kelly Wawryk located?

Kelly Wawryk practices at 14800 99th Ave N Apt 440, Maple Grove, MN 55369. The listed phone number is (503) 715-7650.

What is Kelly Wawryk's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

What insurance does Kelly Wawryk accept?

Health plans from Blue Cross and Blue Shield of Louisiana list Kelly Wawryk as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kelly Wawryk was last updated on June 16, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.