Cheyenne Vision Clinic P.C.

LBN: Cheyenne Vision Clinic P.C.
Cheyenne Vision Clinic P.C. is an health care organization with primary practice located at 1200 E Pershing Blvd , Cheyenne WY 82001-3230. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Cheyenne Vision Clinic P.C. can be contacted via phone (307) 638-6610, or through Carroll, Martin via phone (307) 638-6610.

Contact Information

Primary practice address
1200 E Pershing Blvd Cheyenne WY 82001-3230
Phone: (307) 638-6610
Fax: (307) 638-6451
Website:
Map and Directions
Authorized official contact:
Name: Carroll, Martin Doctor of Optometry (OD)
Phone: (307) 638-6610

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 149T Wyoming

Profile Details

NPI number 1942365119
LBN Legal business name Cheyenne Vision Clinic P.C.
DBA Doing business as
Authorized official Carroll, Martin Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 27th, 2006
Last updated May 8th, 2009 - about 17 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 1942365119 NPPES
Wyoming MEDICAID 106407000

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