Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. LISA A. WYATT, O.D.
Active Sole ProprietorDR. LISA A. WYATT, O.D. is a Optometrist healthcare provider located in TUCKER, Georgia. NPI 1043370547 is currently active in the NPPES registry. Verify at CMS.
Optometrist · TUCKER, GA
Registration Details
- NPI Number
- 1043370547
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 12, 2006 (19.699683550698 yrs)
- Last Updated
- Jul 8, 2007
- License
-
OPT001526 (GA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
4104 LA VISTA RD.TUCKER, GA, 30084Browse GA providers · Browse ZIP 30084
- Phone
- 7704936490
- Fax
- 7704937909
- Primary Specialty
-
Optometrist
152W00000X
Other Optometrist Providers in TUCKER, GA
| Name | Credential | NPI |
|---|---|---|
| DR. VERA E. BURNS | O.D. | 1568607224 |
| DR. MONICA GHIMIRE | OPTOMETRIST | 1295622298 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.