Active NPI
Alvin L Albert, OD
- Optometrist
- Cheyenne, WY
National Provider Identifier
1811989130
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 164T
- Practice address
- 400 E 18TH St
Cheyenne, WY 82001-4616 - Phone
- (307) 634-4232
- Fax
- (307) 778-8429
- NPI assigned
- Aug 22, 2005
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 164T | WY | Primary |
Addresses
Primary practice location
400 E 18TH St
Cheyenne, WY 82001-4616
Mailing address
400 E 18TH St
Cheyenne, WY 82001-4616
Phone (307) 634-4232
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0599050001 | Other | WY | DMERC |
| 36203 | Other | WY | DAVIS VISION |
| 305932 | Other | WY | BLUE CROSS BLUE SHEILD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Vision Center PC | Optometrist | Past | Accepting new patients |
Interoperability endpoints
- https://familyvisionctr.ef.prod.fhir.ema-api.com/fhir/r4/
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Optometrist
- Cheyenne, WY
- NPI 1740349554
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124668800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1811989130",
"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": {
"last_name": "ALBERT",
"first_name": "ALVIN",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "WY",
"license": "164T",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DMERC",
"identifier": "0599050001",
"state": "WY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DAVIS VISION",
"identifier": "36203",
"state": "WY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHEILD",
"identifier": "305932",
"state": "WY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Cheyenne, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.