Provider Demographics
NPI:1265905590
Name:GWYNEDD VALLEY EYE CARE PC
Entity type:Organization
Organization Name:GWYNEDD VALLEY EYE CARE PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DAWN
Authorized Official - Middle Name:
Authorized Official - Last Name:TRYBULSKI
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:215-847-9983
Mailing Address - Street 1:651 E TOWNSHIP LINE RD UNIT 2137
Mailing Address - Street 2:
Mailing Address - City:BLUE BELL
Mailing Address - State:PA
Mailing Address - Zip Code:19422-5100
Mailing Address - Country:US
Mailing Address - Phone:215-237-5337
Mailing Address - Fax:
Practice Address - Street 1:716 N BETHLEHEM PIKE STE 100
Practice Address - Street 2:
Practice Address - City:AMBLER
Practice Address - State:PA
Practice Address - Zip Code:19002-2656
Practice Address - Country:US
Practice Address - Phone:215-237-5337
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-09
Last Update Date:2025-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Multi-Specialty