Casper Vision Center Pc

LBN: Casper Vision Center Pc
Casper Vision Center Pc is an health care organization with primary practice located at 543 S David St , Casper WY 82601-3196. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Casper Vision Center Pc can be contacted via phone (307) 237-9494, or through Gustafson, Paul L via phone (307) 237-9494.

Contact Information

Primary practice address
543 S David St Casper WY 82601-3196
Phone: (307) 237-9494
Fax: (307) 237-1370
Website:
Map and Directions
Authorized official contact:
Name: Gustafson, Paul L Doctor of Optometry (OD)
Phone: (307) 237-9494

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 125T Wyoming

Profile Details

NPI number 1699829382
LBN Legal business name Casper Vision Center Pc
DBA Doing business as
Authorized official Gustafson, Paul L Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 22nd, 2007
Last updated Jan 2nd, 2013 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1699829382 NPPES
Wyoming MEDICAID 100076400
Wyoming MEDICAID 115863500

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