Organization Active NPI

Uinta Eye and Vision LLC

Doing business as Uinta Eye and Vision

  • Optometrist
  • Evanston, WY
National Provider Identifier
1194495739
Registry record updated Sep 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
UINTA EYE AND VISION LLC
Doing business as
Uinta Eye and Vision
Practice address
547 Cheyenne Dr
Evanston, WY 82930-5302
Phone
(307) 789-3937
Fax
(307) 789-0797
NPI assigned
Sep 15, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2021

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

Authorized official

Name
Dr. Richard Trent Cluny, ODNPI 1942432950
Title
Owner/Optometrist
Phone
(307) 789-3937

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

547 Cheyenne Dr
Evanston, WY 82930-5302

Mailing address

547 Cheyenne Dr
Evanston, WY 82930-5302
Phone (307) 789-3937

Other names 1

  • Uinta Eye and Vision Doing business as

National Provider Directory

National Provider Directory

Locations

547 Cheyenne Dr
Evanston, WY 82930
Phone (307) 789-3937

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": "1631664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631664000000",
    "number": "1194495739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "547 CHEYENNE DR",
            "city": "EVANSTON",
            "state": "WY",
            "postal_code": "829305302",
            "telephone_number": "307-789-3937",
            "fax_number": "307-789-0797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "547 CHEYENNE DR",
            "city": "EVANSTON",
            "state": "WY",
            "postal_code": "829305302",
            "telephone_number": "307-789-3937",
            "fax_number": "307-789-0797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UINTA EYE AND VISION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-15",
        "last_updated": "2021-09-15",
        "certification_date": "2021-09-15",
        "status": "A",
        "authorized_official_last_name": "CLUNY",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "TRENT",
        "authorized_official_title_or_position": "OWNER/OPTOMETRIST",
        "authorized_official_telephone_number": "307-789-3937",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Uinta Eye and Vision",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Evanston, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2021; 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.