NPI 1578149266

Tyler Boyack, OD

Practitioner Optometrist Safford, AZ

Practice location

Address: 825 S 20th Ave, Safford, AZ 85546-3317
Phone: (928) 428-6930
Fax: (602) 508-4830
Mailing address: 4800 N 22nd St STE 210, Phoenix, AZ 85016-4963

Registered specialties

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence OPT-002496 (AZ)

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Registry record

NPI: 1578149266
Entity type: Individual
Sex (as registered): Male
NPI issued: 22 Mar 2021
Record last updated: 19 Aug 2021

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.