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Contact Information

TYLER W WYATT, OD
500 FOOTHILL DR
OPTOMETRY DEPARTMENT (112)
SALT LAKE CITY, UT84148-0001
 Phone: 801-582-1565
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
 

Corneal and Contact Management

152WC0802X 41 Optometry
Indicates primary specialty

NPI Profile & details for TYLER W WYATT · (Male)

NPI # 1407260094
Status Active
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 06/11/2014
Last updated 06/11/2014 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • UT License # 9050293-9934
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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