Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Kelly Nicole Wawryk, OD

Individual provider Optometrist · NPI 1811636442

Dr. Kelly Nicole Wawryk, OD is an Optometrist in Maple Grove, Minnesota. Practices as a sole proprietor. Licensed in Minnesota.

Licensed in
MN
In the registry since
2022
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

14800 99th Ave N Apt 440
Maple Grove, MN 55369-7585
Phone: (503) 715-7650
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 3792 (MN)

Record details

NPI number1811636442
Entity typeIndividual (Type 1)
GenderFemale
Credentials OD
Sole proprietorYes
NPI enumeratedJune 1, 2022
Last updated in NPPESJune 16, 2022
Certification dateJune 16, 2022

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