James a Boucher & Sue E Lowe PTR

Primary specialty

OptometristTaxonomy code 152W00000X

License

237T Issued in WY

Legal business name

JAMES A BOUCHER & SUE E LOWE PTR

Doing business as

Snowy Range Vision Center

Practice address

405 S 30TH St
Laramie, WY 82070-5143

Phone

(307) 742-2020

NPI assigned

Dec 20, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Gary M Poteet, ODNPI 1972574424

Title

Partner

Phone

(307) 742-2020

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Snowy Range Vision Center Doing business as

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 4

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

• Gary M Poteet, O.D.

  • Optometrist
  • Laramie, WY
  • NPI 1972574424
  Medicare reassignment Care Compare group NPD Authorized official
• Sue E Lowe, O.D.

  • Optometrist
  • Laramie, WY
  • NPI 1083686331
  Medicare reassignment Care Compare group NPD
• Amy A Lytle, O.D.

  • Optometrist
  • Fullerton, CA
  • NPI 1033524491

  WY

  Medicare reassignment Care Compare group NPD
• Garrett K Howell, OD

  • Optometrist
  • Laramie, WY
  • NPI 1992052310
  Medicare reassignment NPD

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280361600000",
    "number": "1881758332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 S 30TH ST",
            "city": "LARAMIE",
            "state": "WY",
            "postal_code": "820705143",
            "telephone_number": "307-742-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 S 30TH ST",
            "city": "LARAMIE",
            "state": "WY",
            "postal_code": "820705143",
            "telephone_number": "307-742-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES A BOUCHER & SUE E LOWE PTR",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-20",
        "last_updated": "2010-07-29",
        "status": "A",
        "authorized_official_last_name": "POTEET",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "307-742-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "WY",
            "license": "237T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "106700100",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Snowy Range Vision Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Teresa J Jacobs Castano, LCSW LAT
• Eric Jacobs
• John Jacobs III, NP-C
• Aspen Jairell
• Mandy Jane Jairell, D.C.
• Melissa K James, MPT
• Shanna James
• Jana Saltenberger LLC
• Alyssa Janzen
• Robyn Leigh Jauregui

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2010; 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.