DR. KENNY J WYATT OD
NPI 1427056951
Optometrist - Corneal and Contact Management in Mountain View, AR

Q: What is Kenny Wyatt's NPI number?

The NPI number for Kenny Wyatt is 1427056951. It was assigned to this individual provider in the NPPES registry on July 8, 2005.

Q: What is Kenny Wyatt's specialty?

The primary specialty registered for this NPI is Optometrist, specializing in Corneal and Contact Management, with taxonomy code 152WC0802X.

Q: When was this NPI record last updated?

The NPPES record for Kenny Wyatt was last updated on April 21, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 08, 2005

202 PEABODY, MOUNTAIN VIEW, AR 72560(870) 269-3610(870) 269-5086 Get Directions Write a Review

NPPES record last updated: April 21, 2010. Verified against the NPPES registry weekly; last sync: October 04, 2026.

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About Dr. Kenny J Wyatt Od NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KENNY J WYATT OD (NPI 1427056951) is an individual corneal and contact management provider in Mountain View, Arkansas, licensed in Arkansas (2209) and active in the NPI registry since July 2005.

NPPES Registry Identity

NPI1427056951

Entity TypeIndividualMale

Primary Taxonomy152WC0802X

Provider Legal NameDR. KENNY J WYATTCredential: OD

Location Address202 PEABODYMountain View, AR 72560

Mailing AddressPo Box 1460Mountain View, AR 72560-1460 · (870) 269-3610 · Fax (870) 269-5086

Phone(870) 269-3610

Fax(870) 269-5086

Sole ProprietorNo

Enumeration DateJuly 8, 2005

Last NPPES UpdateApril 21, 2010

✔ NPI 1427056951 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometrist · Corneal and Contact ManagementEye and Vision Services Providers

Taxonomy Code152WC0802X

License✔ Licensed in AR · 2209

Definition

The professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea's ability to sustain successful contact lens wear, and treatment of any external eye or corneal condition which can affect contact lens wear.

202 PEABODY, Mountain View, AR 72560

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Other Identifiers 5

Other16064000040AR · Qualchoice Id #

Medicare ID-Type Unspecified48668AR · Medicare Id #

Medicaid106031722AR

OtherP00135331AR · Medicare Rr Id #

Medicare UPINT20218AR

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kenny Wyatt's NPI number?

The NPI number for Kenny Wyatt is 1427056951. It was assigned to this individual provider in the NPPES registry on July 8, 2005.

Where is Kenny Wyatt located?

Kenny Wyatt practices at 202 Peabody, Mountain View, AR 72560. The listed phone number is (870) 269-3610.

What is Kenny Wyatt's specialty?

The primary specialty registered for this NPI is Optometrist, specializing in Corneal and Contact Management, with taxonomy code 152WC0802X.

When was this NPI record last updated?

The NPPES record for Kenny Wyatt was last updated on April 21, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.