Eye Care for You, LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

133T Issued in WY

Legal business name

EYE CARE FOR YOU, LLC

Practice address

426 Greybull Ave
Greybull, WY 82426-2037

Phone

(307) 765-2998

Fax

(307) 765-2614

NPI assigned

Jun 10, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Randy E Waddell, ONPI 1679573380

Title

Member

Phone

(307) 765-2998

Specialties & licenses 1

Addresses

Other identifiers 2

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

Practitioners 1

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

• Randy E Waddell

  • Optometrist
  • Greybull, WY
  • NPI 1679573380
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1402358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1420156800000",
    "number": "1487067229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "426 GREYBULL AVE",
            "city": "GREYBULL",
            "state": "WY",
            "postal_code": "824262037",
            "telephone_number": "307-765-2998",
            "fax_number": "307-765-2614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "426 GREYBULL AVE",
            "city": "GREYBULL",
            "state": "WY",
            "postal_code": "824262037",
            "telephone_number": "307-765-2998",
            "fax_number": "307-765-2614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE CARE FOR YOU, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-10",
        "last_updated": "2015-01-02",
        "status": "A",
        "authorized_official_last_name": "WADDELL",
        "authorized_official_first_name": "RANDY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "307-765-2998",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "WY",
            "license": "133T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "138312400",
            "state": "WY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103668800",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• County of Big Horn
• Ross A Davidson, PHARMD
• Samuel Davidson, DDS
• Tenika Leigh Eardley, RDN
• Melissa Jean Eckman, RN
• First Flight of Wyoming LLC
• Lacey Ford
• Roxanne Getzfreid, RN
• Greybull Dental
• Greybull Drug

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2015; 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.