Tracy L Ammann, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

261T Issued in WY

Practice address

704 E Fremont Ave
Riverton, WY 82501-4421

Phone

(307) 856-9000

Fax

(307) 856-9004

NPI assigned

Oct 12, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278460800000",
    "number": "1962591263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "704 E FREMONT AVE",
            "city": "RIVERTON",
            "state": "WY",
            "postal_code": "825014421",
            "telephone_number": "307-856-9000",
            "fax_number": "307-856-9004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "704 E FREMONT AVE",
            "city": "RIVERTON",
            "state": "WY",
            "postal_code": "825014421",
            "telephone_number": "307-856-9000",
            "fax_number": "307-856-9004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMMANN",
        "first_name": "TRACY",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-12",
        "last_updated": "2010-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WY",
            "license": "261T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "120883700",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Donna Matheny Alvarez, LPC, RPT
• Alyce Peters CMS
• Alyce Peters CMS
• Amaris Spang
• AMC PC Inc
• Virgil R. Amos, P.A.T.
• Ruth A. Amsbaugh, M.A., L.M.F.T.
• Hailee Anderson, PHARM D.
• Kyle Leslie Anderson, FNP-C
• Scott Gordon Anderson

• Optometrist in Riverton, WY
• Providers in Riverton, WY by specialty
• Optometrist in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.