DR. Tristan Leigh Wild, O.D.

NPI #1164656716 in Lakeway, Texas

Provider Information

NPI Number
1164656716
Entity Type
Individual
Name
DR. Tristan Leigh Wild, O.D.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Optometrist
Credential
O.D.
Enumeration Date
May 12, 2009
Last Updated
Jul 5, 2009

Practice Location

Address
1700 RANCH ROAD 620 S
Address 2
#A
State
Texas
ZIP Code
78734-6245
Phone
(512) 263-9970

Specialties & Taxonomy Codes

Specialty
Optometrist

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