Tristan L Wild Od Pllc

NPI #1548917172 in Lakeway, Texas

Provider Information

NPI Number: 1548917172
Entity Type: Organization
Organization Name: Tristan L Wild Od Pllc
Primary Specialty: Optometrist
Enumeration Date: Mar 3, 2022
Last Updated: Mar 3, 2022

Practice Location

Address: 1700 RANCH ROAD 620 S STE A
City: Lakeway
State: Texas
ZIP Code: 78734-6246
Phone: (512) 263-9970

Authorized Official

Name: DR. TRISTAN WILD, OD
Title: OWNER
Phone: (512) 263-9970

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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DR. Tristan Leigh Wild, O.D.	Optometrist	Lakeway	AI Deep Dive
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