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P WADE WYATT MD
NPI 1700082104
Ophthalmology in Holladay, UT

Active since June 22, 2007
4878 HIGHLAND DR, HOLLADAY, UT 84117(801) 272-8861(801) 272-8867 Get Directions Write a Review

NPPES record last updated: September 30, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About P Wade Wyatt Md NPPES

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

P WADE WYATT MD (NPI 1700082104) is an individual ophthalmology provider in Holladay, Utah, licensed in Utah (64451081205) and active in the NPI registry since June 2007.

NPPES Registry Identity

NPI1700082104
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameP WADE WYATTCredential: MD
Location Address4878 HIGHLAND DRHolladay, UT 84117-6007
Mailing Address1901 W Parkway BlvdSalt Lake City, UT 84119 · (801) 886-2020 · Fax (801) 954-0054
Phone(801) 272-8861
Fax(801) 272-8867
Sole ProprietorNo
Enumeration DateJune 22, 2007
Last NPPES UpdateSeptember 30, 2009
✔ NPI 1700082104 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in UT · 64451081205
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
4878 HIGHLAND DR, Holladay, UT 84117
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Other Identifiers 25

Medicare NSC0618950019UT
Medicare NSC0618950005UT
Medicare PIN000062826UT
Medicare PIN000062825UT
Medicaid1700082104UT
Medicare NSC0618950003UT
Medicare NSC0618950007UT
Medicare PIN000062820UT
Medicare PIN000062819UT
Medicare NSC0618950018UT
Medicare PIN000062815UT
Medicare NSC0618950012UT
Medicare PIN000062811UT
Medicare NSC0618950016UT
Medicare NSC0618950002UT
Medicare PIN000062824UT
Medicare PIN000062818UT
Medicare NSC0618950010UT
Medicare NSC0618950009UT
Medicare PIN000062823UT
Medicare NSC0618950017UT
Medicare PINP00473212UT
Medicare PIN000062816UT
Medicare NSC0618950014UT
Medicare PIN000062822UT

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

STANDARD OPTICAL CO
Optometrist
4878 HIGHLAND DR, CREEKSIDE PLAZA
HOLLADAY, UT 84117
Salt Lake County (801) 272-8861

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 P Wyatt's NPI number?

The NPI number for P Wyatt is 1700082104. It was assigned to this individual provider in the NPPES registry on June 22, 2007.

Where is P Wyatt located?

P Wyatt practices at 4878 Highland Dr, Holladay, UT 84117. The listed phone number is (801) 272-8861.

What is P Wyatt's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

When was this NPI record last updated?

The NPPES record for P Wyatt was last updated on September 30, 2009. 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.