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Kelly Wawryk, OD
NPI 1811636442 · Optometrist · Maple Grove, MN
Kelly Wawryk, OD is a Optometrist provider in Maple Grove, MN (NPI 1811636442).
Provider details
- NPI number
- 1811636442
- Entity type
- Individual
- Primary specialty
- OptometristEye and Vision Services Providers
- Credential
- OD
- Sex
- Female
- Sole proprietor
- Yes
- License
- 3792 (MN)
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
Established profile(60/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
14800 99th Ave N Apt 440
Maple Grove, MN 55369-7585
Phone: (503) 715-7650
Street-level locationGet directions
Mailing address
13889 Ridgedale Dr
Minnetonka, MN 55305-1768
Registry dates
- Enumerated
- 2022-06-01
- Last updated
- 2022-06-16
- Certified
- 2022-06-16
Frequently asked questions
- What is Kelly Wawryk's NPI number?
- Kelly Wawryk's National Provider Identifier (NPI) is 1811636442, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kelly Wawryk's specialty?
- Kelly Wawryk is listed in the NPPES registry with a primary specialty of Optometrist (Eye and Vision Services Providers).
- Where is Kelly Wawryk located?
- Kelly Wawryk's practice location on file with NPPES is 14800 99th Ave N Apt 440, Maple Grove, MN 55369-7585.
- What is Kelly Wawryk's phone number?
- The practice phone number listed in the NPPES registry for Kelly Wawryk is (503) 715-7650.
- Is Kelly Wawryk's NPI active?
- Yes — Kelly Wawryk's NPI (1811636442) is active in the NPPES registry as of the last update on 2022-06-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.