Northern Wyoming Ophthalmology, P.C.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

NORTHERN WYOMING OPHTHALMOLOGY, P.C.

Practice address

424 Yellowstone Ave
Suite 110
Cody, WY 82414-9318

Phone

(307) 587-5538

Fax

(307) 587-4896

NPI assigned

Nov 4, 2005

Organization subpart

No

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

Authorized official

Name

Barry P Welch, M.D.NPI 1437157484

Title

President

Phone

(307) 587-5538

Specialties & licenses 1

Addresses

Other identifiers 2

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.

  • Optician
  • Cody, WY
  • NPI 1124220645

  1759364136

  Same PAC ID

Tax ID family

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

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.

  • Optician
  • Cody, WY
  • NPI 1124220645
  NPD tax ID

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

• Northern Wyoming Surgical Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Cody, WY
  • NPI 1306826177

  Member Of

  NPD member

Practitioners 1

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
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1131062400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350518400000",
    "number": "1215928429",
    "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": "824149318",
            "telephone_number": "307-587-5538"
        },
        {
            "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": "824149318",
            "telephone_number": "307-587-5538",
            "fax_number": "307-587-4896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN WYOMING OPHTHALMOLOGY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-04",
        "last_updated": "2012-10-18",
        "status": "A",
        "authorized_official_last_name": "WELCH",
        "authorized_official_first_name": "BARRY",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "307-587-5538",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHEILD",
            "identifier": "04698001",
            "state": "WY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110675900",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• 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
• Tonya Ann O'Dell, RN

• Ophthalmology Physician in Cody, WY
• Providers in Cody, WY by specialty
• Ophthalmology Physician in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 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.