Family Vision Clinic, PC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

FAMILY VISION CLINIC, PC

Practice address

544 Broadway St
Rock Springs, WY 82901-6346

Phone

(307) 382-3937

Fax

(307) 382-2918

NPI assigned

Sep 29, 2005

Last updated

Aug 6, 2008By 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

Richard P Canestrini, O.D.NPI 1932108677

Title

President

Phone

(307) 382-3937

Specialties & licenses 1

Addresses

Other identifiers 1

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 3

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.

• Richard P Canestrini, O.D.

  • Optometrist
  • Rock Springs, WY
  • NPI 1932108677
  Medicare reassignment Care Compare group NPD Authorized official
• Helen D Kim-Sholey, O. D.

  • Optometrist
  • Rock Springs, WY
  • NPI 1275520884
  Medicare reassignment Care Compare group NPD
• Todd E Sholey, O.D.

  • Optometrist
  • Rock Springs, WY
  • NPI 1770570970
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1127952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217980800000",
    "number": "1619964335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "544 BROADWAY ST",
            "city": "ROCK SPRINGS",
            "state": "WY",
            "postal_code": "829016346",
            "telephone_number": "307-382-3937",
            "fax_number": "307-382-2918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "544 BROADWAY ST",
            "city": "ROCK SPRINGS",
            "state": "WY",
            "postal_code": "829016346",
            "telephone_number": "307-382-3937",
            "fax_number": "307-382-2918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY VISION CLINIC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-29",
        "last_updated": "2008-08-06",
        "status": "A",
        "authorized_official_last_name": "CANESTRINI",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "307-382-3937",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "11470300",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephanie Jane Harris Ewoniuk, M.O.T
• Eye Institute PC
• Jackson Brady Facinelli, DC
• Amy Susan Faigl
• Family Dynamics Counseling, Inc
• Brooke Fandrich, PMHNP
• Tammy Fausett, MS CCC-SLP/L
• Emilia Rose Felix
• Carrie Fellbaum
• Feller and Feller Orthodontics, LLC (Feller and Feller Orthodontics)

• Optometrist in Rock Springs, WY
• Providers in Rock Springs, WY by specialty
• Optometrist in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2008; 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.