Organization Active NPI

Eye Institute of Wyoming

  • Optometrist
  • Casper, WY
National Provider Identifier
1326102740
Registry record updated Aug 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
260T Issued in WY
Legal business name
EYE INSTITUTE OF WYOMING
Practice address
301 S Fenway St
Suite 102
Casper, WY 82601-3051
Phone
(307) 235-5384
Fax
(307) 265-7500
NPI assigned
Dec 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2024

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

Authorized official

Name
Dr. Dana Lydell Day, O.D.NPI 1780689067
Title
President
Phone
(307) 235-5384

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 260T WY Primary

Addresses

Primary practice location

301 S Fenway St
Suite 102
Casper, WY 82601-3051

Mailing address

301 S Fenway St
Suite 102
Casper, WY 82601-3051
Phone (307) 235-5384

Other identifiers 1

IdentifierTypeStateIssuer
114199600MedicaidWY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040218000548 WY Part B Supplier - Clinic/Group Practice 7214822261 Receives reassigned benefits from 2 practitioners
Practice locations: Casper, WY; Douglas, WY

National Provider Directory

National Provider Directory

Locations

301 S Fenway St
Ste 102
Casper, WY 82601
Phone (307) 235-5384

815 E Richards St
Unit 6
Douglas, WY 82633
Phone (307) 358-2900

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722988800000",
    "number": "1326102740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 S FENWAY ST",
            "address_2": "SUITE 102",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826013051",
            "telephone_number": "307-235-5384",
            "fax_number": "307-265-7500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 S FENWAY ST",
            "address_2": "SUITE 102",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826013051",
            "telephone_number": "307-235-5384",
            "fax_number": "307-265-7500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE INSTITUTE OF WYOMING",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-20",
        "last_updated": "2024-08-07",
        "certification_date": "2024-08-07",
        "status": "A",
        "authorized_official_last_name": "DAY",
        "authorized_official_first_name": "DANA",
        "authorized_official_middle_name": "LYDELL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "307-235-5384",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "WY",
            "license": "260T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "114199600",
            "state": "WY"
        }
    ],
    "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 Aug 7, 2024; 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.