Cheyenne Eye Clinic, LLC
Organization Active NPI Ophthalmology Physician · Cheyenne, WY
NPI 1720054802 · NPPES record last updated Dec 12, 2025
Key facts
- NPI
- 1720054802
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Ophthalmology Physician 207W00000X
- Legal business name
- CHEYENNE EYE CLINIC, LLC
- Practice address
- 1300 E 20TH St
Cheyenne, WY 82001-4021 - Phone
- (307) 634-2020
- Fax
- (307) 635-6510
- NPI assigned
- Feb 27, 2006
- Organization subpart
- No
Authorized official
- Name
- Laura Marie Garcia
- Title
- VP Revenue Cycle Management
- Phone
- (949) 615-9288
Practitioners 21
-
Sheena Crowe, MSN, ACNP-BC, FNP-C
-
Katelyn Perez, OD
-
Anne Elizabeth Miller, M.D.
-
Arthur Korotkin, M.D.
-
Jason Richard Mayer, M.D.
-
Cullen Dean Ryburn, M.D.
-
Michelle Chaney, O.D.
-
Jacee Renee Cotton, O.D.
-
Kelly Crews, OD
-
Patrick D Arnold, M.D.
-
Karen Maureen Blum, CRNA
-
Justin Paul Coco, D.O.
-
Kent R Crews, M.D.
-
James E Dudo, M.D.
-
Pauline Frome, CRNA
-
Rodney Sanford Hines, CRNA
-
Douglas Jex, CRNA
-
John Andrew Millin, M.D.
-
Dalene D. Perdue, CRNA
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20181009003824 | WY | Part B Supplier - Clinic/Group Practice | 3072865815 |
Receives reassigned benefits from 8 practitioners Practice locations: Cheyenne, WY |
National Provider Directory
Locations
2360 E Pershing Blvd
#Q
Cheyenne, WY 82001
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician |
207W00000X | Yes |
Addresses
Primary practice location
1300 E 20TH St
Cheyenne, WY 82001-4021
Mailing address
1300 E 20TH St
Cheyenne, WY 82001-4021
Phone (307) 634-2020
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All providers in Cheyenne, WY · Ophthalmology Physician in Wyoming
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 12, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.