Family Vision Center PC

Primary specialty

OptometristTaxonomy code 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

Last updated

Mar 10, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Theresa Jo Haas, ODNPI 1669465092

Title

President

Phone

(307) 634-4232

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in WY

Enrollment records 1

Locations

Interoperability endpoints

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

Practitioners 4

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.

• Theresa J. Haas, O.D

  • Optometrist
  • Cheyenne, WY
  • NPI 1669465092
  Medicare reassignment Care Compare group NPD Authorized official
• Jeremy T Nett, OD

  • Optometrist
  • Cheyenne, WY
  • NPI 1487753950
  Medicare reassignment Care Compare group NPD
• Alvin L Albert, OD

  • Optometrist
  • Cheyenne, WY
  • NPI 1811989130
  NPD (past)
• Melissa K Fornstrom

  • Optometrist
  • Cheyenne, WY
  • NPI 1790585677
  NPD (past)

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

{
    "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": "",
            "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": []
}

• 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.

• Optometrist in Cheyenne, WY
• Providers in Cheyenne, WY by specialty
• Optometrist in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.