Family Vision and Contact Lens Clinic, LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

127T Issued in WY

Legal business name

FAMILY VISION AND CONTACT LENS CLINIC, LLC

Practice address

1328 E 12TH St
Casper, WY 82601-3912

Phone

(307) 237-8713

Fax

(307) 237-5740

NPI assigned

May 23, 2006

Last updated

Apr 6, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Emily Meihak Stickelberger, ODNPI 1063662344

Title

Owner

Phone

(307) 237-8713

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Family Vision and Contact Lens Clinic, LLC Former legal business name

Medicare fee-for-service enrollment

Enrolled in WY2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Practitioners 4

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.

• Emily Meihak Stickelberger, O.D.

  • Optometrist
  • Casper, WY
  • NPI 1063662344
  Medicare reassignment Care Compare group NPD Authorized official
• Nathan Darrell Edwards, O.D.

  • Optometrist
  • Casper, WY
  • NPI 1730408956
  Medicare reassignment Care Compare group NPD
• Mike E Harris, O.D.

  • Optometrist
  • Casper, WY
  • NPI 1104819333
  Medicare reassignment Care Compare group NPD
• Andrew James Ochiltree, O.D.

  • Optometrist
  • Casper, WY
  • NPI 1457544199
  NPD (past)

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680739200000",
    "number": "1407801137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1328 E 12TH ST",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826013912",
            "telephone_number": "307-237-8713",
            "fax_number": "307-237-5740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1328 E 12TH ST",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826013912",
            "telephone_number": "307-237-8713",
            "fax_number": "307-237-5740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY VISION AND CONTACT LENS CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-23",
        "last_updated": "2023-04-06",
        "certification_date": "2023-04-06",
        "status": "A",
        "authorized_official_last_name": "STICKELBERGER",
        "authorized_official_first_name": "EMILY",
        "authorized_official_middle_name": "MEIHAK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "307-237-8713",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "WY",
            "license": "127T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "410036494",
            "state": "WY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "122595200",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Vision and Contact Lens Clinic, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Family Vision and Contact Lens Clinic, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Faith Love & Care Services
• Travis Fallgren
• Family Clinic
• Family Health Care PC
• Family of God Church (God's Resources)
• Christine Fancher, R.N.
• Sharon Fancher, LCSW
• Jared Farnum
• Daniel Everett Farrer, LPC
• Jody Faxon, PTA

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.