Sheridan Eye Care Center Inc

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

SHERIDAN EYE CARE CENTER INC

Practice address

116 S Main St
Sheridan, WY 82801-4224

Phone

(307) 675-2020

NPI assigned

Jul 15, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Sam Hoffmann, O.D.NPI 1962434886

Title

Vice President

Phone

(307) 675-2020

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

Interoperability endpoints

• Direct secure messaging: timfehlauer@sheridanec.eyefinity-direct.com
• Direct secure messaging: hoffmannsam@sheridanec.eyefinity-direct.com

Practitioners 5

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

• Sam Hoffmann, O.D.

  • Optometrist
  • Sheridan, WY
  • NPI 1962434886
  Medicare reassignment Care Compare group NPD Authorized official
• Timothy James Fehlauer, O.D.

  • Optometrist
  • Sheridan, WY
  • NPI 1316983950
  Medicare reassignment Care Compare group NPD
• Jill Miller, O.D.

  • Optometrist
  • Sheridan, WY
  • NPI 1003837881
  Medicare reassignment Care Compare group NPD
• Bradley P Kepp, O.D.

  • Optometrist
  • Dillon, MT
  • NPI 1982786042
  NPD (past)
• Marci Pieper, O.D.

  • Optometrist
  • Gilbert, AZ
  • NPI 1003901828
  NPD (past)

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

{
    "created_epoch": "1152921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358985600000",
    "number": "1720004351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 S MAIN ST",
            "city": "SHERIDAN",
            "state": "WY",
            "postal_code": "828014224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 S MAIN ST",
            "city": "SHERIDAN",
            "state": "WY",
            "postal_code": "828014224",
            "telephone_number": "307-675-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHERIDAN EYE CARE CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-15",
        "last_updated": "2013-01-24",
        "status": "A",
        "authorized_official_last_name": "HOFFMANN",
        "authorized_official_first_name": "SAM",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "307-675-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "106204200",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Forrest Crane Shaw
• Christine E Shepherd, CMT, NCBTMB, LPC
• Brian D Sheremeta, LMFT
• Sheridan Anesthesia Associates LLC
• Sheridan Counseling Practice, LLC
• Sheridan Family Practice, P.C.
• Sheridan Health Center, Inc
• Sheridan Internal Medicine
• Sheridan Internal Medicine Associates, Inc.
• Sheridan Medical Lab 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 Jan 24, 2013; 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.