NPIMap

Organization Active NPI

William C. Wyatt, O.D., P.a.

  • Optometrist
  • Pocahontas, AR
National Provider Identifier
1992976039
Registry record updated Mar 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2210 Issued in AR
Legal business name
WILLIAM C. WYATT, O.D., P.A.
Practice address
204 N Thomasville Ave
Pocahontas, AR 72455-2665
Phone
(870) 892-9169
Fax
(870) 892-4031
NPI assigned
Mar 17, 2008
Last updated
Mar 17, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. William C. Wyatt, O.D.
Title
President/Owner
Phone
(870) 892-9169

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2210 AR Primary

Addresses

Primary practice location

204 N Thomasville Ave
Pocahontas, AR 72455-2665

Mailing address

204 N Thomasville Ave
Pocahontas, AR 72455-2665
Phone (870) 892-9169

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1205712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205712000000",
    "number": "1992976039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 N THOMASVILLE AVE",
            "city": "POCAHONTAS",
            "state": "AR",
            "postal_code": "724552665",
            "telephone_number": "870-892-9169",
            "fax_number": "870-892-4031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 N THOMASVILLE AVE",
            "city": "POCAHONTAS",
            "state": "AR",
            "postal_code": "724552665",
            "telephone_number": "870-892-9169",
            "fax_number": "870-892-4031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM C. WYATT, O.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-17",
        "last_updated": "2008-03-17",
        "status": "A",
        "authorized_official_last_name": "WYATT",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "870-892-9169",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AR",
            "license": "2210",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pocahontas, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.