NPIMap

Organization Active NPI

Albany Eye Care, LLC

Doing business as Albany Eye Care

  • Corneal and Contact Management Optometrist
  • Laramie, WY
National Provider Identifier
1225254204
Registry record updated Jul 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Corneal and Contact Management OptometristTaxonomy code 152WC0802X
License
WYO143 Issued in WY
Legal business name
ALBANY EYE CARE, LLC
Doing business as
Albany Eye Care
Practice address
418 S 5TH St
Laramie, WY 82070-3733
Phone
(307) 745-8554
Fax
(307) 755-5929
NPI assigned
Apr 18, 2007
Last updated
Jul 14, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2009

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

Authorized official

Name
Dr. Everett L KingNPI 1699751024
Title
Cfo
Phone
(307) 745-8554

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Corneal and Contact Management OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152WC0802X WYO143 WY Primary

Addresses

Primary practice location

418 S 5TH St
Laramie, WY 82070-3733

Mailing address

418 S 5TH St
Laramie, WY 82070-3733
Phone (307) 745-8554

Other names 1

  • Albany Eye Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040609001117 WY Part B Supplier - Clinic/Group Practice 8123001351 Receives reassigned benefits from 2 practitioners
Practice locations: Laramie, WY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

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": "1176854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247529600000",
    "number": "1225254204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "418 S 5TH ST",
            "city": "LARAMIE",
            "state": "WY",
            "postal_code": "820703733",
            "telephone_number": "307-745-8554",
            "fax_number": "307-755-5929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "418 S 5TH ST",
            "city": "LARAMIE",
            "state": "WY",
            "postal_code": "820703733",
            "telephone_number": "307-745-8554",
            "fax_number": "307-755-5929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALBANY EYE CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-18",
        "last_updated": "2009-07-14",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "EVERETT",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "307-745-8554",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "WY",
            "license": "WYO143",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Albany Eye Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Laramie, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2009; 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.