Active NPI
Richard Trent Cluny, O.D.
- Optometrist
- Evanston, WY
National Provider Identifier
1942432950
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 446T
- Practice address
- 547 Cheyenne Dr
Evanston, WY 82930-5302 - Phone
- (307) 789-3937
- NPI assigned
- Aug 10, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 3335ATI | OR | |
| Optometrist | 152W00000X | 446T | WY | Primary |
Addresses
Primary practice location
547 Cheyenne Dr
Evanston, WY 82930-5302
Mailing address
547 Cheyenne Dr
Evanston, WY 82930-5302
Phone (307) 789-3937
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20211011001992 | WY | Practitioner - Optometry | 4880871615 | Practice locations: Evanston, WY |
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Pacific University - College of Optometry, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
547 Cheyenne Dr
Evanston, WY 82930-5302
Phone (307) 789-3937
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 91 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3335ATI | OR | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Uinta Eye and Vision LLC | Optometrist | Current | Accepting new patients |
Locations
547 Cheyenne Dr
Evanston, WY 82930
Phone (307) 789-3937
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 and National Provider Directory roles.
-
- Optometrist
- Evanston, WY
- NPI 1194495739
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1249862400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1645833600000",
"number": "1942432950",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "547 CHEYENNE DR",
"city": "EVANSTON",
"state": "WY",
"postal_code": "829305302",
"telephone_number": "307-789-3937",
"fax_number": "307-789-0797"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "547 CHEYENNE DR",
"city": "EVANSTON",
"state": "WY",
"postal_code": "829305302",
"telephone_number": "307-789-3937"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLUNY",
"first_name": "RICHARD",
"middle_name": "TRENT",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-08-10",
"last_updated": "2022-02-26",
"certification_date": "2022-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "OR",
"license": "3335ATI",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "WY",
"license": "446T",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Evanston, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.