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NPI 1477501088

IndividualActive

Paula Johnson-Wyatt, OD

NPI 1477501088 · Pediatric Optometrist · Jackson, TN

Provider details

NPI number: 1477501088
Entity type: Individual
Primary specialty: Pediatric OptometristEye and Vision Services Providers
Credential: OD
Sex: Female
Sole proprietor: Yes
License: ODT-2423 (TN)

Practice location

1012 Greystone Square

Jackson, TN 38305

Phone: (731) 660-1100

More TN providers

Mailing address

222 Springview Dr

Jackson, TN 38305-6238

Registry dates

Enumerated: 2006-05-05
Last updated: 2019-02-25

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Paula Johnson-Wyatt, OD — NPI 1477501088, Jackson, TN | NPI Central