Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Brandyn Wyatt, OD

Individual provider Optometrist · NPI 1821773722

Brandyn Wyatt, OD is an Optometry in Lebanon, Oregon. Graduated from Pacific University - College of Optometry in 2023, 3 years ago. Practices with Lifetime Vision Source of Lebanon LLC, a 3-clinician group and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
3
Trained at
Pacific University - College of Optometry
Licensed in
OR
In the registry since
2023
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

90 Market St Ste 20
Lebanon, OR 97355-2396
Phone: (541) 451-2020
Fax: (541) 451-1785
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 4683ATI (OR)

Record details

NPI number1821773722
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorNo
NPI enumeratedJune 19, 2023
Last updated in NPPESJune 19, 2023
Certification dateJune 19, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolPACIFIC UNIVERSITY - COLLEGE OF OPTOMETRY
Graduated 2023 (3 years in practice)
Group practice Lifetime Vision Source Of Lebanon Llc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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