Organization
MARK K. BRYANT
Active
Other names
Dr. Mark K. Bryant, O.D.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK KEVIN BRYANT O.D. (PRESIDENT/OWNER)
(212) 581-1232
Entity
Organization
Contact information
Practice address
311 W 43RD ST STE 1405, NEW YORK, NY 10036-6447
(212) 581-1232
(212) 581-5059
Mailing address
311 W 43RD ST STE 1405, NEW YORK, NY 10036-6447
(212) 581-1232
(212) 581-5059
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUV005628-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1093939746
NPI
NJ
Enumeration date
04/26/2012
Last updated
04/26/2012
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