Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
WIILARD EARL BUCHANAN, OD
ActiveWIILARD EARL BUCHANAN, OD is a Optometrist healthcare provider located in PT ORCHARD, Washington. NPI 1699763219 is currently active in the NPPES registry. Verify at CMS.
Optometrist · PT ORCHARD, WA
Registration Details
- NPI Number
- 1699763219
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 7, 2005 (20.830077139468 yrs)
- Last Updated
- Jul 8, 2007
- License
-
OD00001118 (WA)
Practice Information
- Address
-
1135 BETHEL AVEPT ORCHARD, WA, 983663125Browse WA providers · Browse ZIP 98366
- Phone
- 3608952020
- Fax
- 3608740048
- Primary Specialty
-
Optometrist
152W00000X
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.