Wykes, Diana

Wykes, Diana is an individual health care provider with primary practice located at 1920 E Baseline Rd , Tempe AZ 85283-1511. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Wykes, Diana can be contacted via phone (480) 345-5000.

Contact Information

Primary practice address
1920 E Baseline Rd Tempe AZ 85283-1511
Phone: (480) 345-5000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 707 Arizona

Profile Details

NPI number 1184694853
LBN Legal business name Wykes, Diana
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 25th, 2006
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1184694853 NPPES
Arizona MEDICAID 174277

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