Organization Active NPI

Wyovision Associates Inc

  • Optometrist
  • Sheridan, WY
National Provider Identifier
1710097910
Registry record updated Apr 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
318T Issued in WY
Legal business name
WYOVISION ASSOCIATES INC
Practice address
1450 Sugarland Dr
Sheridan, WY 82801-5730
Phone
(307) 673-5177
Fax
(307) 673-5170
NPI assigned
Aug 30, 2006
Last updated
Apr 10, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2020

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

Authorized official

Name
Dr. Joseph V Katschke, O.D.NPI 1548459977
Title
President
Phone
(307) 673-5177

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
Optometrist 152W00000X 318T WY Primary

Addresses

Primary practice location

1450 Sugarland Dr
Sheridan, WY 82801-5730

Mailing address

1450 Sugarland Dr
Sheridan, WY 82801-5730
Phone (307) 673-5177

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20071018000826 WY Part B Supplier - Clinic/Group Practice 7315033503 Receives reassigned benefits from 3 practitioners
Practice locations: Sheridan, WY
O20110105000445 WY DME Supplier - Physician - OptometristDME Supplier - Optician 7315033503 Practice locations: Sheridan, WY

Laboratory certificates & supplier records

Derived by NPIMap

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

SupplierSuppliesMedicare assignment
Wyovision Associates Inc1450 Sugarland Dr, Sheridan, WY 82801-5730(307) 673-5177 Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses|Prosthetic Lenses: Prosthetics Cataract Lenses Accepts assignmentParticipating since Oct 8, 2007

National Provider Directory

National Provider Directory

Locations

1450 Sugarland Dr
Sheridan, WY 82801
Phone (307) 673-5177

Interoperability endpoints

  • Direct secure messaging: bfowler@wyovision.eyeclinicdirect.net
  • Direct secure messaging: dfisher@wyovision.eyeclinicdirect.net
  • Direct secure messaging: jkatschke@wyovision.eyeclinicdirect.net

Practitioners & affiliated clinicians

Practitioners 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586476800000",
    "number": "1710097910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1450 SUGARLAND DR",
            "city": "SHERIDAN",
            "state": "WY",
            "postal_code": "828015730",
            "telephone_number": "307-673-5177",
            "fax_number": "307-673-5170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 SUGARLAND DR",
            "city": "SHERIDAN",
            "state": "WY",
            "postal_code": "828015730",
            "telephone_number": "307-673-5177",
            "fax_number": "307-673-5170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WYOVISION ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2020-04-10",
        "certification_date": "2020-04-10",
        "status": "A",
        "authorized_official_last_name": "KATSCHKE",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "307-673-5177",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WY",
            "license": "318T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sheridan, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2020; 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.