NPI 1063687606

Dr Ann L Wild Optometrist PA

Organisation Optometrist College Station, TX

Practice location

Address: 2746 Longmire Dr, College Station, TX 77845-5424
Phone: (979) 764-1554
Fax: (979) 694-2259

Authorised official

Name: Ann L Wild
Title: Owner
Phone: (979) 764-1554

Registered specialties

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence 2142TG (TX)

Other Optometrist providers in Texas →

Registry record

NPI: 1063687606
Entity type: Organization
NPI issued: 24 Apr 2008
Record last updated: 24 Apr 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.