Organization Active NPI

Wyoming Eye Surgeons

  • Ophthalmology Physician
  • Sheridan, WY
National Provider Identifier
1922582402
Registry record updated Oct 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
WYOMING EYE SURGEONS
Practice address
36 N. Gould St.
Suite 2a
Sheridan, WY 82801
Phone
(559) 246-8254
NPI assigned
Sep 20, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2019

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

Authorized official

Name
Dr. Bairn Michael Walker, MDNPI 1861443889
Title
Owner
Phone
(559) 246-8254

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

36 N. Gould St.
Suite 2a
Sheridan, WY 82801

Mailing address

23 Moonlight Dr
Sheridan, WY 82801-8627
Phone (559) 246-8254

Other identifiers 1

IdentifierTypeStateIssuer
00984070MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190104001343 WY Part B Supplier - Clinic/Group Practice 8426394982 Receives reassigned benefits from 1 practitioner
Practice locations: Sheridan, WY

National Provider Directory

National Provider Directory

Locations

36 N Gould St
Ste 201
Sheridan, WY 82801
Phone (307) 429-0430

36 N Gould St
Ste 2A
Sheridan, WY 82801
Phone (559) 246-8254

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1537401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572480000000",
    "number": "1922582402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 MOONLIGHT DR",
            "city": "SHERIDAN",
            "state": "WY",
            "postal_code": "828018627",
            "telephone_number": "559-246-8254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 N. GOULD ST.",
            "address_2": "SUITE 2A",
            "city": "SHERIDAN",
            "state": "WY",
            "postal_code": "82801",
            "telephone_number": "559-246-8254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WYOMING EYE SURGEONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-20",
        "last_updated": "2019-10-31",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "BAIRN",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "559-246-8254",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00984070",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sheridan, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2019; 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.