Organization Active NPI

Wyoming Optical Inc

  • Optician
  • Casper, WY
National Provider Identifier
1437379161
Registry record updated May 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
Legal business name
WYOMING OPTICAL INC
Practice address
485 E 2ND St
Casper, WY 82601-2507
Phone
(307) 265-4324
Fax
(307) 234-0144
NPI assigned
Apr 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2010

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

Authorized official

Name
Mrs. Carol M Frick
Title
Sec Trea
Phone
(307) 265-4324

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OpticianGroup: 193200000X MULTI-SPECIALTY GROUP 156FX1800X Primary

Addresses

Primary practice location

485 E 2ND St
Casper, WY 82601-2507

Mailing address

485 E 2ND St
Casper, WY 82601-2507
Phone (307) 265-4324

Other identifiers 2

IdentifierTypeStateIssuer
303831OtherWYKIDCARE
106119400MedicaidWY

Other names 1

  • Wyoming Optical The Eyeglass Factory Other name

National Provider Directory

National Provider Directory

Locations

485 E 2nd St
Casper, WY 82601
Phone (307) 265-4324

Practitioners & affiliated clinicians

Practitioners 1

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": "1177545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273622400000",
    "number": "1437379161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "485 E 2ND ST",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826012507",
            "telephone_number": "307-265-4324",
            "fax_number": "307-234-0144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "485 E 2ND ST",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826012507",
            "telephone_number": "307-265-4324",
            "fax_number": "307-234-0144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WYOMING OPTICAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-26",
        "last_updated": "2010-05-12",
        "status": "A",
        "authorized_official_last_name": "FRICK",
        "authorized_official_first_name": "CAROL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "SEC TREA",
        "authorized_official_telephone_number": "307-265-4324",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KIDCARE",
            "identifier": "303831",
            "state": "WY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "106119400",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wyoming Optical The Eyeglass Factory",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 May 12, 2010; 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.