Organization Active NPI

Spectus RLLP

  • Optometrist
  • Casper, WY
National Provider Identifier
1306282462
Registry record updated Jun 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
120-T Issued in WY
Legal business name
SPECTUS RLLP
Practice address
400 E 1St St
Suite 314
Casper, WY 82601-2561
Phone
(307) 266-2020
Fax
(307) 234-8074
NPI assigned
May 16, 2013
Last updated
Jun 13, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2013

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

Authorized official

Name
Dr. Nick J Brattis, OD
Title
Managing Partner
Phone
(307) 266-2020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 120-T WY Primary

Addresses

Primary practice location

400 E 1St St
Suite 314
Casper, WY 82601-2561

Mailing address

400 E 1St St
Suite 314
Casper, WY 82601-2561
Phone (307) 266-2020

Other identifiers 3

IdentifierTypeStateIssuer
301361OtherBLUE CROSS KID CARE
104085500MedicaidWY
P00075662OtherMEDICARE-RAILROAD (PALAMETTO)

National Provider Directory

National Provider Directory

Locations

400 E 1st St
Ste 314
Casper, WY 82601
Phone (307) 266-2020

Practitioners & affiliated clinicians

Practitioners 1

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": "1368662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371081600000",
    "number": "1306282462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 E 1ST ST",
            "address_2": "SUITE 314",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826012561",
            "telephone_number": "307-266-2020",
            "fax_number": "307-234-8074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 E 1ST ST",
            "address_2": "SUITE 314",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826012561",
            "telephone_number": "307-266-2020",
            "fax_number": "307-234-8074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECTUS RLLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-16",
        "last_updated": "2013-06-13",
        "status": "A",
        "authorized_official_last_name": "BRATTIS",
        "authorized_official_first_name": "NICK",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "307-266-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WY",
            "license": "120-T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS KID CARE",
            "identifier": "301361",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104085500",
            "state": "WY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE-RAILROAD (PALAMETTO)",
            "identifier": "P00075662",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Casper, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2013; 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.