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TRACI L WYATT, OPTICIAN

Active

TRACI L WYATT, OPTICIAN is a Optician, Dispensing healthcare provider located in FAYETTEVILLE, Arkansas. NPI 1346401650 is currently active in the NPPES registry. Verify at CMS.

Optician, Dispensing · FAYETTEVILLE, AR

Registration Details

NPI Number
1346401650
Provider Type
Individual
Gender
Female
NPI Issued
Jun 19, 2008 (18.113272357057 yrs)
Last Updated
Jun 19, 2008
License
L-920822 (AR)

Practice Information

Address
104 W COLT SQUARE DR
SUITE 2
FAYETTEVILLE, AR, 727032834
Browse AR providers · Browse ZIP 72703
Phone
4792519482
Primary Specialty
Optician, Dispensing
156FX1800X

Other Optician, Dispensing Providers in FAYETTEVILLE, AR

Name Credential NPI
TRESA DAWN NAPIER LDO,ABO,COA 1982363693
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.