Your Family Optical

Primary specialty

OpticianTaxonomy code 156FX1800X

Legal business name

YOUR FAMILY OPTICAL

Practice address

4214 Cheyenne St
Cheyenne, WY 82001-1923

Phone

(307) 638-0260

Fax

(307) 514-4348

NPI assigned

Aug 24, 2007

Last updated

Aug 24, 2007By the provider in NPPES

Organization subpart

Yes

Parent organization

YOUR FAMILY OPTICALAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Mary E Jackson, OPTICIAN

Title

Office Manager

Phone

(307) 638-0260

Specialties & licenses 1

Addresses

Part of

Your Family Optical

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1187913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187913600000",
    "number": "1033302856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4214 CHEYENNE ST",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820011923",
            "telephone_number": "307-638-0260",
            "fax_number": "307-514-4348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4214 CHEYENNE ST",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820011923",
            "telephone_number": "307-638-0260",
            "fax_number": "307-514-4348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUR FAMILY OPTICAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "YOUR FAMILY OPTICAL",
        "enumeration_date": "2007-08-24",
        "last_updated": "2007-08-24",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "307-638-0260",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "OPTICIAN"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Optician in Cheyenne, WY
• Providers in Cheyenne, WY by specialty
• Optician in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.