Organization Active NPI

Frontier Eye Care LLC

  • Optometrist
  • Casper, WY
National Provider Identifier
1508141995
Registry record updated Oct 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
268T Issued in WY
Legal business name
FRONTIER EYE CARE LLC
Practice address
5880 E 2ND St Ste 100
Casper, WY 82609-4389
Phone
(307) 472-2020
NPI assigned
Oct 17, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2016

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

Authorized official

Name
Dr. Douglas John Hodgson, O.D.
Title
Optometrist
Phone
(307) 277-5282

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 268T WY Primary

Addresses

Primary practice location

5880 E 2ND St Ste 100
Casper, WY 82609-4389

Mailing address

PO Box 50871
Casper, WY 82605-0871
Phone (307) 277-5282

Other identifiers 1

IdentifierTypeStateIssuer
132819100MedicaidWY

National Provider Directory

National Provider Directory

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": "1318809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475712000000",
    "number": "1508141995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 50871",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826050871",
            "telephone_number": "307-277-5282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5880 E 2ND ST STE 100",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826094389",
            "telephone_number": "307-472-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRONTIER EYE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-17",
        "last_updated": "2016-10-06",
        "status": "A",
        "authorized_official_last_name": "HODGSON",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "307-277-5282",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "WY",
            "license": "268T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "132819100",
            "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 Oct 6, 2016; 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.