Active NPI
Terry L Adams, O.D.
- Optometrist
- Torrington, WY
National Provider Identifier
1669534830
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 123T
- Practice address
- 520 College Dr
Torrington, WY 82240-1517 - Phone
- (307) 532-2060
- Fax
- (307) 532-5710
- NPI assigned
- Dec 14, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 123T | WY | Primary |
Addresses
Primary practice location
520 College Dr
Torrington, WY 82240-1517
Mailing address
520 College Dr
Torrington, WY 82240-1517
Phone (307) 532-2060
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 410016780 | Other | WY | RR MEDICARE PROVIDER NUMB |
| 103452900 | Medicaid | WY | |
| 310522 | Other | WY | BCBS PROVIDER NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 837 | NE | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166054400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1208822400000",
"number": "1669534830",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "520 COLLEGE DR",
"city": "TORRINGTON",
"state": "WY",
"postal_code": "822401517",
"telephone_number": "307-532-2060",
"fax_number": "307-532-5710"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "520 COLLEGE DR",
"city": "TORRINGTON",
"state": "WY",
"postal_code": "822401517",
"telephone_number": "307-532-2060",
"fax_number": "307-532-5710"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADAMS",
"first_name": "TERRY",
"middle_name": "L",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-14",
"last_updated": "2008-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "WY",
"license": "123T",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE PROVIDER NUMB",
"identifier": "410016780",
"state": "WY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "103452900",
"state": "WY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PROVIDER NUMBER",
"identifier": "310522",
"state": "WY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Torrington, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.