Family Vision Clinic, Pc

LBN: Family Vision Clinic, Pc
Family Vision Clinic, Pc is an health care organization with primary practice located at 544 Broadway St , Rock Springs WY 82901-6346. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Family Vision Clinic, Pc can be contacted via phone (307) 382-3937, or through Canestrini, Richard P via phone (307) 382-3937.

Contact Information

Primary practice address
544 Broadway St Rock Springs WY 82901-6346
Phone: (307) 382-3937
Fax: (307) 382-2918
Website:
Map and Directions
Authorized official contact:
Name: Canestrini, Richard P Doctor of Optometry (OD)
Phone: (307) 382-3937

Health care specialties

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

Profile Details

NPI number 1619964335
LBN Legal business name Family Vision Clinic, Pc
DBA Doing business as
Authorized official Canestrini, Richard P Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 29th, 2005
Last updated Aug 6th, 2008 - about 18 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 1619964335 NPPES
Wyoming MEDICAID 11470300

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