Kippi D Wyatt is a Optometrist in Tahlequah, Oklahoma. Kippi D Wyatt practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Kippi D Wyatt is 1952321382. The last update date is 2012-02-08.
Kippi D Wyatt's current location address is 1001 N Grand Ave, Tahlequah, Oklahoma. You can contact this provider via phone number 9184582109 and fax number 9184582310. The mailing address for Kippi D Wyatt is 1001 N Grand Ave, Tahlequah, Oklahoma. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kippi D Wyatt |
|---|---|
| Address | 1001 N Grand Ave, Tahlequah, Oklahoma |
| Phone Number | 9184582109 |
| Fax Number | 9184582310 |
| Sole Proprietor | N |
| Credentials | OD |
NPI Number Detail
| NPI Number | 1952321382 |
|---|---|
| Provider Enumeration Date | 2006-07-20 |
| Last Updated Date | 2012-02-08 |
Provider Mailing Address Detail
| Address | 1001 N Grand Ave |
|---|---|
| City | Tahlequah |
| State | Oklahoma (OK) |
| Post Code | 744647017 |
| Phone Number | 9184582109 |
| Fax Number | 9184582310 |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
| Licence No | 1146 |
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Definition: Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 100764500A | OK | -- |
Post Comment/ Review Below
What is the Kippi D Wyatt's unique identification number?
The Kippi D Wyatt has been assigned the NPI (National Provider Identifier) Number 1952321382 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete physical address where Kippi D Wyatt is located?
The Kippi D Wyatt is situated at the following address: 1001 N Grand Ave, Tahlequah, OK, 744647017.
What is Kippi D Wyatt's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Kippi D Wyatt is Optometrist, and the taxonomy code that classifies this field of practice is 152W00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1952321382 to Kippi D Wyatt?
The Kippi D Wyatt received its 1952321382 assignment from the Centers for Medicare & Medicaid Services on 2006-07-20.
When was the information pertaining to Kippi D Wyatt most recently updated or revised?
The details related to Kippi D Wyatt, including its address, specialty, and other relevant information, were last updated or revised on 2012-02-08.