NPI 1346401650

Traci L Wyatt, OPTICIAN

Practitioner Optician Fayetteville, AR

Practice location

Address: 104 W Colt Square Dr Suite 2, Fayetteville, AR 72703-2834
Phone: (479) 251-9482

Registered specialties

Optician Primary

Eye and Vision Services Providers Taxonomy 156FX1800X Licence L-920822 (AR)

Other Technician/Technologist providers in Arkansas →

Registry record

NPI: 1346401650
Entity type: Individual
Sex (as registered): Female
NPI issued: 19 Jun 2008
Record last updated: 19 Jun 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.