Marty J Wyman is a Optometrist in Vienna, Virginia. Marty J Wyman practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Marty J Wyman is 1164522264. The last update date is 2018-01-31.
Marty J Wyman's current location address is 1950 Old Gallows Rd Ste 520, Vienna, Virginia. You can contact this provider via phone number 7038478899 and fax number 8667954020. The mailing address for Marty J Wyman is 1950 Old Gallows Rd Ste 520, Vienna, Virginia. To know further, please read the information below!
Provider Profile Detail
Provider Name | Marty J Wyman |
---|---|
Address | 1950 Old Gallows Rd Ste 520, Vienna, Virginia |
Phone Number | 7038478899 |
Fax Number | 8667954020 |
Sole Proprietor | N |
Credentials | O.D. |
NPI Number Detail
NPI Number | 1164522264 |
---|---|
Provider Enumeration Date | 2006-09-25 |
Last Updated Date | 2018-01-31 |
Provider Mailing Address Detail
Address | 1950 Old Gallows Rd Ste 520 |
---|---|
City | Vienna |
State | Virginia (VA) |
Post Code | 221823970 |
Phone Number | 7038478899 |
Fax Number | 8667954020 |
Provider's Primary Taxonomy Detail
Speciality | Optometrist |
---|---|
Taxonomy | 152W00000X |
Licence No | TA808 |
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 |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
XY26 | MD | BLUE CROSS BLUE SHIELD |
Post Comment/ Review Below
What is the unique identifier code issued to Marty J Wyman by the Centers for Medicare & Medicaid Services (CMS)?
The Marty J Wyman has been assigned the NPI (National Provider Identifier) 1164522264. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete physical location address of Marty J Wyman?
The Marty J Wyman is physically situated at 1950 Old Gallows Rd Ste 520, in the city of Vienna, state of VA, with the postal code 221823970.
What is Marty J Wyman's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Marty J Wyman is Optometrist, and the taxonomy classification code that categorizes this area of expertise is 152W00000X.
On what date did the Marty J Wyman receive the assignment of its 1164522264 from the Centers for Medicare & Medicaid Services?
The Marty J Wyman was issued its 1164522264 by the Centers for Medicare & Medicaid Services on 2006-09-25.
As of what date were the details pertaining to Marty J Wyman last refreshed?
The information related to the Marty J Wyman, including its address, specialty, and other relevant details, was last updated on 2018-01-31.
NPI Number: 1245233451
Address: 262 Danny Thomas Place., Ms 0515, Memphis, TN
NPI Number: 1750384947
Address: Ou Medical Center-750 Ne 13th, Oklahoma City, OK