KEVIN B WYNNE OD PLLC
NPI 1922277938
Eyewear Supplier in Pittsford, NY
About Kevin B Wynne Od Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KEVIN B WYNNE OD PLLC (NPI 1922277938) is a healthcare organization registered as an eyewear supplier in Pittsford, New York and active in the NPI registry since February 2008. The organization lists Kevin Bradley Wynne, Optometrist, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kevin B Wynne Od Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Kevin B Wynne Od PLLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Kevin B Wynne Od PLLC's NPI number?
The NPI number for Kevin B Wynne Od PLLC is 1922277938. It was assigned to this organization in the NPPES registry on February 23, 2008.
Where is Kevin B Wynne Od PLLC located?
Kevin B Wynne Od PLLC is located at 56 State St, Pittsford, NY 14534. The listed phone number is (585) 381-4640.
What is Kevin B Wynne Od PLLC's specialty?
The primary specialty registered for this NPI is Eyewear Supplier with taxonomy code 332H00000X.
Is Kevin B Wynne Od PLLC enrolled in Medicare?
Yes. Kevin B Wynne Od PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Kevin B Wynne Od PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Optometry) reassigns their Medicare billing to Kevin B Wynne Od PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Kevin B Wynne Od PLLC was last updated on October 17, 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.
# Kevin B Wynne Od Pllc · NPI 1922277938
Eyewear Supplier organization in Pittsford, New York. Organization record, active in the CMS NPPES registry since February 23, 2008.
## Identity
- **NPI:** 1922277938 (Entity type: Organization)
- **Enumerated:** February 23, 2008
- **Primary specialty:** Eyewear Supplier · taxonomy 332H00000X
- **Organization subpart:** No
- **Authorized official:** Kevin Wynne, OPTOMETRIST
## Practice location
- **Address:** 56 STATE ST, Pittsford, NY 14534-2344
- **Phone:** (585) 381-4640
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Optometry) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 17, 2022
- **Other identifiers:** Other P017155959 (NY); Other 14929A (NY)
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Source: [NPI Profile](https://npiprofile.com/npi/1922277938) · Data from the CMS NPPES public registry.