The Eye Clinic Surgicenter

LBN: Lagreca Eye Clinic Pc
The Eye Clinic Surgicenter is an health care organization with primary practice located at 1150 Main St , Lander WY 82520-2620. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as the primary health care specialty. Lagreca Eye Clinic Pc can be contacted via phone (307) 332-5272, or through Proctor, Lola J. via phone (406) 294-6586.

Contact Information

Primary practice address
1150 Main St Lander WY 82520-2620
Phone: (307) 332-5272
Fax: (307) 332-9481
Website:
Map and Directions
Authorized official contact:
Name: Proctor, Lola J.
Phone: (406) 294-6586

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X Wyoming

Profile Details

NPI number 1548440019
LBN Legal business name Lagreca Eye Clinic Pc
DBA Doing business as The Eye Clinic Surgicenter
Authorized official Proctor, Lola J.
Entity Organization
Organization subpart 1 No
Enumeration date Nov 13th, 2007
Last updated Dec 29th, 2011 - about 15 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 1548440019 NPPES
Wyoming MEDICAID 104306400
Wyoming Other CK2875

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