Northern Wyoming Ophthalmology, P.C.

Primary specialty

OpticianTaxonomy code 156FX1800X

Legal business name

NORTHERN WYOMING OPHTHALMOLOGY, P.C.

Practice address

424 Yellowstone Ave
Suite 110
Cody, WY 82414-3423

Phone

(307) 587-5788

Fax

(307) 587-4896

NPI assigned

Jun 5, 2007

Organization subpart

Yes

Parent organization

NORTHERN WYOMING OPHTAHLMOLOGY, PCAs reported in NPPES

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

Authorized official

Name

Dr. Barry P. Welch, M.D.NPI 1437157484

Title

Owner

Phone

(307) 587-5788

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• New Image Eyewear Doing business as

Medicare fee-for-service enrollment

Enrolled in WY

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Northern Wyoming Ophthalmology, P.C.

  • Ophthalmology Physician
  • Cody, WY
  • NPI 1215928429

  1759364136

  Same PAC ID

Tax ID family

Northern Wy Opthalmology2 organizations share this tax ID, including this one

Part of

Northern Wy Opthalmology

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Northern Wyoming Ophthalmology, P.C.

  • Ophthalmology Physician
  • Cody, WY
  • NPI 1215928429
  NPD tax ID

Locations

Practitioners 2

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

• Barry Peterson Welch, M.D.

  • Ophthalmology Physician
  • Cody, WY
  • NPI 1437157484
  NPD Authorized official
• Bruce Cram, OPTICIAN

  • Optician
  • Cody, WY
  • NPI 1558563064
  NPD (past)

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

{
    "created_epoch": "1181001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332288000000",
    "number": "1124220645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "424 YELLOWSTONE AVE",
            "address_2": "SUITE 110",
            "city": "CODY",
            "state": "WY",
            "postal_code": "824143423",
            "telephone_number": "307-587-5788",
            "fax_number": "307-587-4896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "424 YELLOWSTONE AVE",
            "address_2": "SUITE 110",
            "city": "CODY",
            "state": "WY",
            "postal_code": "824143423",
            "telephone_number": "307-587-5788",
            "fax_number": "307-587-4896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN WYOMING OPHTHALMOLOGY, P.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NORTHERN WYOMING OPHTAHLMOLOGY, PC",
        "enumeration_date": "2007-06-05",
        "last_updated": "2012-03-21",
        "status": "A",
        "authorized_official_last_name": "WELCH",
        "authorized_official_first_name": "BARRY",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "307-587-5788",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "113960600",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "New Image Eyewear",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• John Newton
• Rachel Nielsen, LCSW
• Cody Moncur Nielson, APRN, FNP-BC
• Elizabeth Norman, PHARMD
• Northern DDSP, Inc.
• Northern Wyoming Ophthalmology, P.C.
• Northern Wyoming Surgical Anesthesia LLC
• Northern Wyoming Surgical Center, LLC
• Northwest Wyoming Family Planning
• Diana Lynn Nye, LCSW

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2012; 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.