Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. PAULA JOHNSON-WYATT, OD
Active Sole ProprietorDR. PAULA JOHNSON-WYATT, OD is a Pediatric Optometrist healthcare provider located in JACKSON, Tennessee. NPI 1477501088 is currently active in the NPPES registry. Verify at CMS.
Pediatric Optometrist · JACKSON, TN
Registration Details
- NPI Number
- 1477501088
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 5, 2006 (20.292350790733 yrs)
- Last Updated
- Feb 25, 2019
- License
-
ODT-2423 (TN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1012 GREYSTONE SQUAREJACKSON, TN, 38305Browse TN providers · Browse ZIP 38305
- Phone
- 7316601100
- Primary Specialty
-
Pediatric Optometrist
152WP0200X
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.