DR. Jacquelyn Tyra OD

  • 1154896363 NPI Number
  • |
  • Actived: 11 months ago
  • |
According to our database, NPI number for DR. Jacquelyn Tyra OD is 1154896363 and actived since Thursday, October 4 2018. DR. Jacquelyn Tyra OD is an individual provider specializes in Optometrist, primary practice location is 9220 Marne Rd, Fort Benning, GA 31905. You can also contact DR. Jacquelyn Tyra OD via telephone number is (706) 682-3938. Provider NPI information was last updated on 09/08/2019.

Recently Active NPIs

Overview of DR. Jacquelyn Tyra OD

  • NPI number: 1003475005
  • Provider type: Individual
  • Specialty: Optometrist
  • Gender: Female
  • Active since: 10/04/2018
  • Last updated: 09/08/2019

Primary Scrop of Practice

  • Taxonomy Code: 152W00000X
  • Specialty: Optometrist
  • License Number: 0618002779
  • License State: VA

Provider Mailing Address

  • Address: 6311 Wilmington Dr
    Burke, VA 22015
  • Phone: 703-304-2459
  • Fax:

Provider Practice Location

  • Address: 9220 Marne Rd
    Fort Benning, GA 31905
  • Phone: 706-682-3938
  • Fax:

Scope of Practice

  • Taxonomy Code: 152W00000X
  • Specialty: Optometrist
  • License Number: 0618002779
  • License State: VA
  • Switch: Yes

Question & Answers

What is the npi number?

  • Q: What is the npi number for DR. Jacquelyn Tyra OD?
  • A: The npi number for DR. Jacquelyn Tyra OD is 1154896363.
  • Q: What are DR. Jacquelyn Tyra OD's specialties?
  • A: DR. Jacquelyn Tyra OD's specialties are Optometrist and different specialities.
  • Q: What is the medical license for DR. Jacquelyn Tyra OD?
  • A: The medical license number for DR. Jacquelyn Tyra OD is 0618002779 and issued in VA in USA.
  • Q: Where is DR. Jacquelyn Tyra OD practice location?
  • A: DR. Jacquelyn Tyra OD is practicing at 9220 Marne Rd, Fort Benning, GA 31905.
  • Q: How to contact DR. Jacquelyn Tyra OD?
  • A: You can contact DR. Jacquelyn Tyra OD via 706-682-3938.