Wyovision Associates of Gillette LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

318T Issued in WY

Legal business name

WYOVISION ASSOCIATES OF GILLETTE LLC

Practice address

530 Running W Dr Ste 110
Gillette, WY 82718-2074

Phone

(307) 682-2747

Fax

(307) 333-0215

NPI assigned

Oct 10, 2016

Last updated

Apr 10, 2020By 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

Joseph V KatschkeNPI 1548459977

Title

Owner

Phone

(307) 673-5177

Specialties & licenses 1

Addresses

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

Practitioners 2

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.

• Joseph V Katschke, O.D.

  • Optometrist
  • Sheridan, WY
  • NPI 1548459977
  Medicare reassignment NPD Authorized official
• Jaren Olsen, OD

  • Optometrist
  • Idaho Falls, ID
  • NPI 1821597519

  WY

  Medicare reassignment NPD

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

{
    "created_epoch": "1476057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586476800000",
    "number": "1790235133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 RUNNING W DR STE 110",
            "city": "GILLETTE",
            "state": "WY",
            "postal_code": "827182074",
            "telephone_number": "307-682-2747",
            "fax_number": "307-686-9984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 RUNNING W DR STE 110",
            "city": "GILLETTE",
            "state": "WY",
            "postal_code": "827182074",
            "telephone_number": "307-682-2747",
            "fax_number": "307-333-0215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WYOVISION ASSOCIATES OF GILLETTE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-10",
        "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": "OWNER",
        "authorized_official_telephone_number": "307-673-5177"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WY",
            "license": "318T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wyoming Interventional Pain Management, P.C.
• Wyoming Medical Associates, LLC
• Wyoming Medical Associates, LLC (Wyoming Medical Associates)
• Wyoming Medical Wellness Center PC
• Wyoming Unity Solutions LLC
• Meghan K Young
• Nave J Young, CMT
• Melissa Marie Serreyn Younger
• Jennifer Youngs
• Youth Emergency Services

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

• 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.