Provider Demographics
NPI:1285659532
Name:HRYWNAK, VERONICA (OD)
Entity Type:Individual
Prefix:DR
First Name:VERONICA
Middle Name:
Last Name:HRYWNAK
Suffix:
Gender:F
Credentials:OD
Other - Prefix:DR
Other - First Name:VERONICA
Other - Middle Name:
Other - Last Name:MARIETTA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OD
Mailing Address - Street 1:1500 WEISS ST
Mailing Address - Street 2:
Mailing Address - City:SAGINAW
Mailing Address - State:MI
Mailing Address - Zip Code:48602-5251
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1500 WEISS ST
Practice Address - Street 2:
Practice Address - City:SAGINAW
Practice Address - State:MI
Practice Address - Zip Code:48602-5251
Practice Address - Country:US
Practice Address - Phone:989-497-2500
Practice Address - Fax:989-321-4926
Is Sole Proprietor?:No
Enumeration Date:2006-07-13
Last Update Date:2010-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4901003918152W00000X
MI5330000452152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist