Active NPI
Spectus RLLP
- Optometrist
- Casper, WY
National Provider Identifier
1306282462
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 120-T
- 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, 2013
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 301361 | Other | BLUE CROSS KID CARE | |
| 104085500 | Medicaid | WY | |
| P00075662 | Other | MEDICARE-RAILROAD (PALAMETTO) |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Optometrist
- Casper, WY
- NPI 1861527178
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.