Splitrock Vision Clinic P C Inc

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

SPLITROCK VISION CLINIC P C INC

Practice address

404 9TH St
Wheatland, WY 82201-2910

Phone

(307) 322-9747

Fax

(307) 322-9776

NPI assigned

Feb 22, 2007

Organization subpart

No

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

Authorized official

Name

Devin J Davis, O.D.NPI 1013042068

Title

President

Phone

(307) 322-9747

Specialties & licenses 1

Addresses

Practitioners 3

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

• Devin J Davis, O.D.

  • Optometrist
  • Chadron, NE
  • NPI 1013042068
  NPD (past) Authorized official
• David J Halsey, O.D.

  • Optometrist
  • Wheatland, WY
  • NPI 1902931900
  NPD (past)
• Carla Deann Shoults, O.D.

  • Optometrist
  • Gillette, WY
  • NPI 1164602371
  NPD (past)

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207872000000",
    "number": "1235264185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 9TH ST",
            "city": "WHEATLAND",
            "state": "WY",
            "postal_code": "822012910",
            "telephone_number": "307-322-9747",
            "fax_number": "307-322-7996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 9TH ST",
            "city": "WHEATLAND",
            "state": "WY",
            "postal_code": "822012910",
            "telephone_number": "307-322-9747",
            "fax_number": "307-322-9776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPLITROCK VISION CLINIC P C INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-22",
        "last_updated": "2008-04-11",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "DEVIN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "307-322-9747",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ray K Snapp, MA, LPC
• Jaden Snook
• Kalyn Snook
• South Street Pharmacy, LLC
• South Street Pharmacy, LTC
• Victoria Ruth Squires, IBCLC
• Stephanie S. Ackerman LLC
• Connie Kay Strayer, MSW
• Louis D Tepoel, M.D.
• Karen K Thayer, O.T.R./L.

• Optometrist in Wheatland, WY
• Providers in Wheatland, WY by specialty
• Optometrist in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2008; 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.