Provider Demographics
NPI:1477696128
Name:BRYLA, CYNTHIA ANN (OD)
Entity type:Individual
Prefix:DR
First Name:CYNTHIA
Middle Name:ANN
Last Name:BRYLA
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:761 OTTAWA DR
Mailing Address - Street 2:
Mailing Address - City:TROY
Mailing Address - State:MI
Mailing Address - Zip Code:48085-1666
Mailing Address - Country:US
Mailing Address - Phone:248-828-1934
Mailing Address - Fax:248-828-1934
Practice Address - Street 1:2800 W BIG BEAVER RD
Practice Address - Street 2:N104
Practice Address - City:TROY
Practice Address - State:MI
Practice Address - Zip Code:48084-3206
Practice Address - Country:US
Practice Address - Phone:248-649-6766
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-14
Last Update Date:2025-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4901004176152WC0802X, 152WP0200X, 152WX0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152WX0102XEye and Vision Services ProvidersOptometristOccupational Vision
No152WC0802XEye and Vision Services ProvidersOptometristCorneal and Contact Management
No152WP0200XEye and Vision Services ProvidersOptometristPediatrics