Wylam, Alexis R
Wylam, Alexis R is an individual health care provider with primary practice located at 281 Airport Rd , Hazle Township PA 18202-3320. She recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Corneal and Contact Management, Eye and Vision Services Providers / Optometrist. Eye and Vision Services Providers / Optometrist is her primary health care specialty. Wylam, Alexis R can be contacted via phone (570) 453-2020.Contact Information
Primary practice address
281 Airport Rd
Hazle Township PA 18202-3320
Phone: (570) 453-2020
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Eye and Vision Services Providers / Corneal and Contact Management | 152WC0802X | OEG004023 | Pennsylvania |
Eye and Vision Services Providers / Optometrist | 152W00000X | OEG004023 | Pennsylvania |
Profile Details
NPI number | 1275219818 |
---|---|
LBN Legal business name | Wylam, Alexis R |
Credentials | Doctor of Optometry (OD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 27th, 2023 |
Last updated | Jun 29th, 2023 - about last year |
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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