Mountain West Eye Care P.C.

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

MOUNTAIN WEST EYE CARE P.C.

Practice address

607 Big Horn Ave
Worland, WY 82401-2603

Phone

(307) 431-6398

Fax

(307) 347-3990

NPI assigned

Apr 22, 2020

Organization subpart

No

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

Authorized official

Name

Emily BryantNPI 1891210126

Title

Authorized Official

Phone

(307) 431-6398

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in WY

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Emily Bryant, OD

  • Optometrist
  • Worland, WY
  • NPI 1891210126
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1587513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721952000000",
    "number": "1043830722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "607 BIG HORN AVE",
            "city": "WORLAND",
            "state": "WY",
            "postal_code": "824012603",
            "telephone_number": "307-752-2749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "607 BIG HORN AVE",
            "city": "WORLAND",
            "state": "WY",
            "postal_code": "824012603",
            "telephone_number": "307-431-6398",
            "fax_number": "307-347-3990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN WEST EYE CARE P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-22",
        "last_updated": "2024-07-26",
        "certification_date": "2024-07-26",
        "status": "A",
        "authorized_official_last_name": "BRYANT",
        "authorized_official_first_name": "EMILY",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "307-431-6398"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "155720300",
            "state": "WY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP",
            "identifier": "1043830722",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael McGehee, PTA
• Jaime Mertz
• Bryan K Mickelson, PH.D.
• Nathan David Miller
• Erin C Morgan, LPC
• Tom Musgrove
• Jimmy K Nelson, D.M.D.
• Randy Newton
• North Big Horn Hospital District
• Northwest Community Action Programs of Wyoming, Inc.

• Optometrist in Worland, WY
• Providers in Worland, WY by specialty
• Optometrist in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.