Organization Active NPI

Eye Institute PC

  • Optometrist
  • Rock Springs, WY
National Provider Identifier
1558675702
Registry record updated Sep 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
214T Issued in WY
Legal business name
EYE INSTITUTE PC
Practice address
2631 Foothill Blvd Ste a
Rock Springs, WY 82901-4770
Phone
(307) 362-4202
Fax
(307) 362-4332
NPI assigned
Jul 29, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2026

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

Authorized official

Name
Randy L Fuja, O.D.NPI 1215979976
Title
Doctor
Phone
(307) 362-4202

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 214T WY Primary

Addresses

Primary practice location

2631 Foothill Blvd Ste a
Rock Springs, WY 82901-4770

Mailing address

2631 Foothill Blvd Ste a
Rock Springs, WY 82901-4770
Phone (307) 362-4202

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100914000134 WY Part B Supplier - Clinic/Group Practice 9234254368 Receives reassigned benefits from 1 practitioner
Practice locations: Rock Springs, WY

National Provider Directory

National Provider Directory

Locations

2631 Foothill Blvd
Ste A
Rock Springs, WY 82901
Phone (307) 362-4202

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": "1280361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789084800000",
    "number": "1558675702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2631 FOOTHILL BLVD STE A",
            "city": "ROCK SPRINGS",
            "state": "WY",
            "postal_code": "829014770",
            "telephone_number": "307-362-4202",
            "fax_number": "307-362-4332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2631 FOOTHILL BLVD STE A",
            "city": "ROCK SPRINGS",
            "state": "WY",
            "postal_code": "829014770",
            "telephone_number": "307-362-4202",
            "fax_number": "307-362-4332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE INSTITUTE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-29",
        "last_updated": "2026-09-11",
        "certification_date": "2026-09-11",
        "status": "A",
        "authorized_official_last_name": "FUJA",
        "authorized_official_first_name": "RANDY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "307-362-4202",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "WY",
            "license": "214T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rock Springs, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2026; 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.