NPIMap

Organization Active NPI

Wortham Vision Care,Inc.

  • Optometrist
  • Lyman, WY
National Provider Identifier
1154571826
Registry record updated Jun 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
T197 Issued in WY
Legal business name
WORTHAM VISION CARE,INC.
Practice address
106 S Main
Lyman, WY 82937
Phone
(307) 787-6123
Fax
(307) 787-3351
NPI assigned
Sep 30, 2008
Last updated
Jun 9, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2009

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

Authorized official

Name
Mrs. Billie S Wortham, M.S.,CCCANPI 1437133089
Title
Audiologist/Owner
Phone
(307) 787-6123

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X T197 WY Primary
Audiologist 231H00000X A933 WY

Addresses

Primary practice location

106 S Main
Lyman, WY 82937

Mailing address

PO Box 429
Lyman, WY 82937-0429
Phone (307) 787-6123

Other identifiers 2

IdentifierTypeStateIssuer
CN2934OtherWYRR MEDICARE
102280600MedicaidWY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1222732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1244505600000",
    "number": "1154571826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 429",
            "city": "LYMAN",
            "state": "WY",
            "postal_code": "829370429",
            "telephone_number": "307-787-6123",
            "fax_number": "307-787-3351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 S MAIN",
            "city": "LYMAN",
            "state": "WY",
            "postal_code": "82937",
            "telephone_number": "307-787-6123",
            "fax_number": "307-787-3351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WORTHAM VISION CARE,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-30",
        "last_updated": "2009-06-09",
        "status": "A",
        "authorized_official_last_name": "WORTHAM",
        "authorized_official_first_name": "BILLIE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "AUDIOLOGIST/OWNER",
        "authorized_official_telephone_number": "307-787-6123",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.S.,CCCA"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WY",
            "license": "T197",
            "primary": true
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "WY",
            "license": "A933",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "CN2934",
            "state": "WY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102280600",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lyman, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2009; 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.