Wyoming Eye & Laser Inc.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

7754A Issued in WY

Legal business name

WYOMING EYE & LASER INC.

Practice address

1005 College View Dr
Riverton, WY 82501-2266

Phone

(307) 371-4294

Fax

(307) 857-5215

NPI assigned

Aug 23, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Ricardo Alfonso Aviles, M.D.

Title

Owner/Physician

Phone

(307) 371-4294

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1187827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204070400000",
    "number": "1265625297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1005 COLLEGE VIEW DR",
            "city": "RIVERTON",
            "state": "WY",
            "postal_code": "825012266",
            "telephone_number": "307-371-4294",
            "fax_number": "307-857-5215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 COLLEGE VIEW DR",
            "city": "RIVERTON",
            "state": "WY",
            "postal_code": "825012266",
            "telephone_number": "307-371-4294",
            "fax_number": "307-857-5215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WYOMING EYE & LASER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-23",
        "last_updated": "2008-02-27",
        "status": "A",
        "authorized_official_last_name": "AVILES",
        "authorized_official_first_name": "RICARDO",
        "authorized_official_middle_name": "ALFONSO",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "307-371-4294",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "WY",
            "license": "7754A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1205837010",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shawna Michele Wisdom
• Ross C Wortham, OD
• James Todd Wright
• Susan Jean Wright, OTR/L
• Wyoming Counseling Services PC
• Wyoming Medical Imaging, LLC
• Lacey Young
• Ben Zoller, RPH

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 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.