DR. BRYNN N WAJDA (NPI# 1578822094) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578822094 |
| Entity Type | Individual |
| Full Name | DR. BRYNN N WAJDA |
| Credential | MD |
| Practice Address |
15 Lowell St Portland ME 04102-2726 |
| Practice Telephone | 2077748277 |
| Practice Fax Number | 2076995850 |
| Mailing Telephone | 2077748277 |
| Mailing Fax Number | 2076995850 |
| Enumeration Date | 2012-05-04 |
| Last Update Date | 2020-04-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207W00000X | Ophthalmology | MD21716 | ME | Allopathic & Osteopathic Physicians |
| N | 207W00000X | Ophthalmology | Q8382 | TX | Allopathic & Osteopathic Physicians |
| Y | 207WX0200X |
Ophthalmology Specialization: Ophthalmic Plastic and Reconstructive Surgery |
MD21716 | ME | Allopathic & Osteopathic Physicians |
| N | 207WX0009X |
Ophthalmology Specialization: Glaucoma Specialist |
MD21716 | ME | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 161 Marginal Way, Portland, ME 041012438 | 2077748277 |
| Street Address |
15 LOWELL ST |
| City | PORTLAND |
| State | ME |
| Zip Code | 04102-2726 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174529564 | Robert S Cady | Ophthalmology | 15 Lowell St, Portland, ME 04102-2748 | 2005-06-22 |
| 1982106548 | Boston Ocular Prosthetics Inc | Technician/Technologist | 15 Lowell St, Portland, ME 04102-2726 | 2018-02-28 |
| 1952718413 | Holly Knight Mccarthy | Optometrist | 15 Lowell St, Portland, ME 04102-2726 | 2014-07-16 |
| 1295906931 | Brooke E Miller | Ophthalmology | 15 Lowell St, Portland, ME 04102-2726 | 2008-03-21 |
| 1346445632 | Jennifer Lynn Garvey | Specialist | 15 Lowell St, Portland, ME 04102-2726 | 2007-06-18 |
| 1699893784 | Maine Eye Center, Pa | Durable Medical Equipment & Medical Supplies | 15 Lowell St, Portland, ME 04102-2726 | 2007-03-27 |
| 1720044878 | Maine Eye Center, Pa | Optometrist | 15 Lowell St, Portland, ME 04102-2776 | 2006-04-25 |
| 1275534489 | Curtis Mackay Libby | Ophthalmology | 15 Lowell St, Portland, ME 04102-2748 | 2005-08-10 |
| 1376549402 | Frederick S Miller | Ophthalmology | 15 Lowell St, Portland, ME 04102-2748 | 2005-06-23 |
| 1689670762 | John L Walters | Optometrist | 15 Lowell St, Portland, ME 04102-2748 | 2005-06-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720602964 | Ci Yen Joanna Man | Student in an Organized Health Care Education/Training Program | 190 Park Ave., Portland, ME 04102 | 2020-06-03 |
| 1841811338 | Abby Zarotny Sahagian | Nurse Anesthetist, Certified Registered | Mmc Anesthesia and Perioperative Medicine, 22 Bramhall St, Portland, ME 04102 | 2020-05-06 |
| 1124656863 | Zachary Bernard Tillett | Student in an Organized Health Care Education/Training Program | Maine Medical Center 22 Bramhall St., Portland, ME 04102 | 2020-03-30 |
| 1215564323 | Joshua Allen Swenson | Student in an Organized Health Care Education/Training Program | 33 Bramhall St, Portland, ME 04102 | 2020-03-26 |
| 1740776434 | Rishi Phakey | Dentist | Community Dental, 190 Park Ave, Portland, ME 04102 | 2018-07-05 |
| 1982192571 | Jessica Thomas | Doula | 619 Brighton Ave #101, Rosemont Wellness Center, Portland, ME 04102 | 2018-04-29 |
| 1699270744 | Shane D Kirkegaard | Student in an Organized Health Care Education/Training Program | Maine Medical Center 22 Bramhall Street, Portland, ME 04102 | 2018-03-29 |
| 1144752494 | Al-shawk Home Healthcare, LLC | Technician | 640 Brighton Ave Ste 8, Portland, ME 04102 | 2017-03-28 |
| 1376074674 | Samuel B Potter | Emergency Medicine | Maine Medical Center, 22 Bramhall Street, Portland, ME 04102 | 2017-03-27 |
| 1043767536 | Kevin De Ruiter | Social Worker | 129 Pine St Apt 6, Portland, ME 04102 | 2016-09-01 |
| Find all providers in zip 04102 | ||||
| Taxonomy Code | 207WX0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| Specialization | Ophthalmic Plastic and Reconstructive Surgery |
| A physician who specializes in oculofacial plastic and reconstructive surgery. This subspecialty combines orbital and periocular surgery with facial plastic surgery, and includes aesthetic and reconstructive surgery of the face, orbit, eyelid, and lacrimal system. Practitioners evaluate, diagnose and treat conditions involving the eyelids, brows, midface, orbits, lacrimal systems and surrounding and supporting structures of the face and neck. |
| Notes: Source: American Academy of Ophthalmology, 2015. www.aao.org [1/1/2016: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851374938 | Zachary George Klett | Ophthalmology | 417 State St Ste 230, Bangor, ME 04401-6630 | 2005-11-22 |
Please comment or provide details below to improve the information on DR. BRYNN N WAJDA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.