Wyoming Center for Sight P.C.

Primary specialty

SpecialistTaxonomy code 174400000X

License

4462A Issued in WY

Legal business name

WYOMING CENTER FOR SIGHT P.C.

Practice address

1421 Wilkins Cir
Casper, WY 82601-1337

Phone

(307) 237-2511

Fax

(307) 237-7351

NPI assigned

Jan 12, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Matthew Taylor Dodds, M.D.NPI 1225092562

Title

Owner

Phone

(307) 237-2511

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in WY

Enrollment records 1

Practitioners 1

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

• Matthew Taylor Dodds, M.D

  • Specialist
  • Casper, WY
  • NPI 1225092562
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309305600000",
    "number": "1164572897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1421 WILKINS CIR",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826011337",
            "telephone_number": "307-237-2511",
            "fax_number": "307-237-7351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1421 WILKINS CIR",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826011337",
            "telephone_number": "307-237-2511",
            "fax_number": "307-237-7351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WYOMING CENTER FOR SIGHT P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-12",
        "last_updated": "2011-06-29",
        "status": "A",
        "authorized_official_last_name": "DODDS",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "TAYLOR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "307-237-2511",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "WY",
            "license": "4462A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "108875100",
            "state": "WY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "00938001",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Casper, WY
• Providers in Casper, WY by specialty
• Specialist in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2011; 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.