Family Vision Center PC

Key facts

NPI

1740349554

Entity type

Organization (NPI type 2)

Primary specialty

Optometrist 152W00000X

Legal business name

FAMILY VISION CENTER PC

Practice address

400 E 18TH St
Cheyenne, WY 82001-4616

Phone

(307) 634-4232

Fax

(307) 778-8429

NPI assigned

Dec 7, 2006

Organization subpart

No

Authorized official

Name

Dr. Theresa Jo Haas, OD NPI 1669465092

Title

President

Phone

(307) 634-4232

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 3

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

• Theresa J. Haas, O.D Optometrist · Cheyenne, WY · NPI 1669465092
  Medicare reassignment Care Compare group NPD Authorized official OPTOMETRIST · WY
• Jeremy T Nett, OD Optometrist · Cheyenne, WY · NPI 1487753950
  Medicare reassignment Care Compare group NPD OPTOMETRIST · WY
• Alvin L Albert, OD Optometrist · Cheyenne, WY · NPI 1811989130
  NPD (past) OPTOMETRIST

Medicare participation

Medicare fee-for-service enrollment

Enrolled in WY

Medicare enrollment records

National Provider Directory

Locations

Interoperability endpoints

• FHIR API: https://familyvisionctr.ef.prod.fhir.ema-api.com/fhir/r4/

Specialties & licenses

Addresses

Other identifiers

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Mar 10, 2009.

{
    "created_epoch": "1165449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236643200000",
    "number": "1740349554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 E 18TH ST",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820014616",
            "telephone_number": "307-634-4232",
            "fax_number": "307-778-8429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 E 18TH ST",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820014616",
            "telephone_number": "307-634-4232",
            "fax_number": "307-778-8429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY VISION CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-07",
        "last_updated": "2009-03-10",
        "status": "A",
        "authorized_official_last_name": "HAAS",
        "authorized_official_first_name": "THERESA",
        "authorized_official_middle_name": "JO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "307-634-4232",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "CG2259",
            "state": "WY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "109909400",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cheyenne, WY

• Mindy K Falkner-Wann, MA
• Jason R Falvey, PT, DPT, GCS, CEEAA
• April L Falzone, PPC
• Family First, P. C.
• Family to Family LLC
• Alexis Shante' Fanning
• Harry Paul Fanning, D.D.S.
• Alexis Fanshier
• Erica Farley, OTRL
• Lynn Susan Farley, D.D.S.

All providers in Cheyenne, WY · Optometrist in Wyoming