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Organization
LYNN J WYATT
Active
Organization
LYNN J WYATT
Active
Other names
Choice Optical
Organization subpart
No
Provider details
NPI number
Authorized official
LYNN J WYATT ABOC (OPTICIAN OWNER)
(724) 438-5120
Entity
Organization
Contact information
Practice address
18 NICKMAN PLAZA, LEMONT FURNACE, PA 15456
(724) 438-5120
(724) 438-5142
Mailing address
18 NICKMAN PLAZA, LEMONT FURNACE, PA 15456
(724) 438-5120
(724) 438-5142
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
NULL
156FX1800X
Optician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MA01532552
—
PA
01
—
WY235185
BS
PA
Enumeration date
04/16/2007
Last updated
07/30/2008
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