Arrants Pembroke PC
Organization Active NPI Optometrist · Rock Springs, WY
NPI 1912099433 · NPPES record last updated Oct 30, 2015
Key facts
- NPI
- 1912099433
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Optometrist 152W00000X
- Legal business name
- ARRANTS PEMBROKE PC
- Practice address
- 2820 Foothill Blvd
Rock Springs, WY 82901-4836 - Phone
- (307) 382-4444
- NPI assigned
- Sep 29, 2006
- Organization subpart
- No
Authorized official
- Name
- Dr. Alison Arrants, O.D.
- Title
- Optometrist Secretary
- Phone
- (307) 382-4444
Practitioners 2
-
Alison Ann Arrants, O.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070108000508 | WY | Part B Supplier - Clinic/Group Practice | 1355341793 |
Receives reassigned benefits from 1 practitioner Practice locations: Rock Springs, WY |
National Provider Directory
Locations
2820 Foothill Blvd
Rock Springs, WY 82901
Phone (307) 382-4444
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist |
152W00000X | Yes |
Addresses
Primary practice location
2820 Foothill Blvd
Rock Springs, WY 82901-4836
Mailing address
PO Box 2250
Rock Springs, WY 82902-2250
Phone (307) 382-4444
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 123145600 | Medicaid | WY |
Other names
- Wyoming Vision Center
Other providers in Rock Springs, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 30, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.