NPI 1063041473
Tyler Daniel Wickas, MD
Practice location
- Address
- 6002 Pointe West Blvd, Bradenton, FL 34209-5531
- Phone
- (941) 792-2020
- Mailing address
- PO Box 11407, Birmingham, AL 35246-8575
Registered specialties
Ophthalmology Physician
Primary
Registry record
- NPI
- 1063041473
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 7 Apr 2020
- Record last updated
- 3 Jun 2026
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.