EDWARD G BRYANT IV OD

EDWARD G BRYANT IV OD PLLC

Dr EDWARD G BRYANT IV OD is a male medical professional, specializing in Optometry. He graduated in 1999 from Pennsylvania College Of Optometry.

Contact

EDWARD G BRYANT IV OD PLLC

1284 DRYDEN RD
ITHACA
NY
148508795

Tel: 6072571066

EDWARD G BRYANT IV OD Information

Npi 1790785384
Pac Id 8123066552
Professional Enrollment Id I20050827000182
Last Name BRYANT
First Name EDWARD
Middle Name G
Suffix IV
Gender M
Credential OD
Medical School Name PENNSYLVANIA COLLEGE OF OPTOMETRY
Graduation Year 1999
Primary Specialty OPTOMETRY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name EDWARD G BRYANT IV OD PLLC
Group Practice Pac Id 0840445540
Number Of Group Practice Members 2
Line 1 Street Address 1284 DRYDEN RD
Line 2 Street Address
Marker Of Address Line 2 Suppression
City ITHACA
State NY
Zip Code 148508795
Phone Number 6072571066
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
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Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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