Sheridan Optical II, LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

SHERIDAN OPTICAL II, LLC

Practice address

25 E Grinnell Plaza
Sheridan, WY 82801

Phone

(307) 672-7777

NPI assigned

Dec 30, 2015

Organization subpart

No

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

Authorized official

Name

Timothy Corley

Title

Office Manager

Phone

(307) 673-5177

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Matthew E Groshart, O.D.

  • Optometrist
  • Sheridan, WY
  • NPI 1053394932
  NPD (past)

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

{
    "created_epoch": "1451433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1451433600000",
    "number": "1679938005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 E GRINNELL PLAZA",
            "city": "SHERIDAN",
            "state": "WY",
            "postal_code": "82801",
            "telephone_number": "307-672-7777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 E GRINNELL PLAZA",
            "city": "SHERIDAN",
            "state": "WY",
            "postal_code": "82801",
            "telephone_number": "307-672-7777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHERIDAN OPTICAL II, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-30",
        "last_updated": "2015-12-30",
        "status": "A",
        "authorized_official_last_name": "CORLEY",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "307-673-5177"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sheridan Internal Medicine Associates, Inc.
• Sheridan Medical Lab LLC
• Sheridan Memorial Sameday Health & Imaging Urgent Care
• Sheridan Neurology PC
• Sheridan Opco LLC
• Sheridan Optical Inc
• Sheridan Orthopaedic Associates, P C
• Sheridan Pathology Associates PC
• Sheridan Peak Wellness
• Sheridan Podiatry LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2015; 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.