DR. Ann Lynne Wild, O.D.

NPI #1659361087 in College Station, Texas

Provider Information

NPI Number: 1659361087
Entity Type: Individual
Name: DR. Ann Lynne Wild, O.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Oct 26, 2005
Last Updated: Mar 17, 2008

Practice Location

Address: 2746 LONGMIRE DR
City: College Station
State: Texas
ZIP Code: 77845-5424
Phone: (979) 764-1554

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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