National Provider Identifier
Edward George Bryant IV, OD
Edward George Bryant IV, OD is listed in the NPPES registry with a primary specialty of Optometrist in Ithaca, NY and a listed phone number of (607) 257-1066.
Profile Overview
- NPI
- 1790785384
- Provider Type
- Individual
- Primary Specialty
- Optometrist
- Enumeration Date
- July 26, 2005
- Last Updated
- April 17, 2019
Practice Location
- 1284 Dryden Road
- Ithaca, NY 14850-8795
Phone: (607) 257-1066
Specialties
- Optometrist (152W00000X)
Full Record
- NPI
- 1790785384
- Entity Type
- Individual
- Last Name
- Bryant
- First Name
- Edward
- Middle Name
- George
- Name Prefix
- Dr.
- Name Suffix
- IV
- Credential
- OD
- Mailing Street Address
- 1284 Dryden Road
- Mailing City
- Ithaca
- Mailing State
- NY
- Mailing ZIP Code
- 14850-8795
- Mailing Country
- US
- Mailing Phone
- (607) 257-1066
- Mailing Fax
- (607) 257-1378
- Practice Street Address
- 1284 Dryden Road
- Practice City
- Ithaca
- Practice State
- NY
- Practice ZIP Code
- 14850-8795
- Practice Country
- US
- Practice Phone
- (607) 257-1066
- Practice Fax
- (607) 257-1378
- Enumeration Date
- July 26, 2005
- Last Updated
- April 17, 2019
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Optometrist (152W00000X)