A New Concept Optical & Eyecare

Primary specialty

Corneal and Contact Management OptometristTaxonomy code 152WC0802X

License

220T Issued in WY

Legal business name

A NEW CONCEPT OPTICAL & EYECARE

Practice address

2528 Dell Range Blvd
Cheyenne, WY 82009-5273

Phone

(307) 634-2503

Fax

(307) 634-4878

NPI assigned

Apr 19, 2007

Last updated

Jun 3, 2010By 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

Julie V Perala

Title

Office Manager

Phone

(307) 634-2503

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WY

Enrollment records 1

Locations

Practitioners 3

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.

• Garrett K Howell, OD

  • Optometrist
  • Laramie, WY
  • NPI 1992052310
  Medicare reassignment NPD
• Daniel R. Perala, OD

  • Corneal and Contact Management Optometrist
  • Cheyenne, WY
  • NPI 1639131899
  Medicare reassignment NPD
• Tipton William Young, OD

  • Optometrist
  • Cheyenne, WY
  • NPI 1427112150
  NPD (past)

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275523200000",
    "number": "1891912846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2528 DELL RANGE BLVD",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820095273",
            "telephone_number": "307-634-2503",
            "fax_number": "307-634-4878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2528 DELL RANGE BLVD",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820095273",
            "telephone_number": "307-634-2503",
            "fax_number": "307-634-4878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A NEW CONCEPT OPTICAL & EYECARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-19",
        "last_updated": "2010-06-03",
        "status": "A",
        "authorized_official_last_name": "PERALA",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "307-634-2503"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "WY",
            "license": "220T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "116426100",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• 2400 Home, LLC
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• 307 Dental Studio LLC
• 433 Enterprises Inc (Synergy HomeCare of Cheyenne)
• A Better Life Inc
• A Step Ahead Foot and Ankle Center LLC (ASA Foot Cheyenne)
• A. E. Roedel Drug Inc
• ABA Skill Builders Wy LLC
• Abdel DME Corp
• Bilal Abdul Haqq, BA

• Corneal and Contact Management Optometrist in Cheyenne, WY
• Providers in Cheyenne, WY by specialty
• Corneal and Contact Management Optometrist in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2010; 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.