Eklund Optometric Group, LLC
Organization Active NPI Optometrist · Cheyenne, WY
NPI 1710040241 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1710040241
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Optometrist 152W00000X
- Legal business name
- EKLUND OPTOMETRIC GROUP, LLC
- Practice address
- 1400 Dell Range Blvd
Suite 69B
Cheyenne, WY 82009-4801 - Phone
- (307) 778-0700
- Fax
- (307) 632-6342
- NPI assigned
- Dec 18, 2006
- Organization subpart
- No
Authorized official
- Name
- Kelli Eklund
- Title
- Office Manager
- Phone
- (970) 568-7161
Practitioners 2
-
Larry L Eklund, O.D.
-
Marc A Provencher, O.D.
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist |
152W00000X | Yes |
Addresses
Primary practice location
1400 Dell Range Blvd
Suite 69B
Cheyenne, WY 82009-4801
Mailing address
PO Box 350
Wellington, CO 80549-0350
Other providers in Cheyenne, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.