Individual provider Active NPI

Richard Trent Cluny, O.D.

  • Optometrist
  • Evanston, WY
National Provider Identifier
1942432950
Registry record updated Feb 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
446T Issued in WY
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

Updated by the provider on Feb 26, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

ProcedureNumber of procedures
Cataract surgery91

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3335ATIORMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Uinta Eye and Vision LLC Optometrist CurrentSince Sep 23, 2021 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.

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

Verify at the official NPI Registry.