Wyoming Eye Care Inc PC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

WYOMING EYE CARE INC PC

Practice address

110 Buffalo Way St a
Jackson, WY 83002

Phone

(307) 733-4905

Fax

(307) 733-4906

NPI assigned

Feb 13, 2007

Last updated

Feb 5, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lisa E Glenn, O.D.NPI 1487796330

Title

President

Phone

(307) 733-4905

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lisa Eileen Glenn, O.D.

  • Optometrist
  • Pinedale, WY
  • NPI 1487796330
  NPD (past) Authorized official
• Chad Roberts, O.D.

  • Optometrist
  • Jackson, WY
  • NPI 1295863504
  NPD (past)
• Thorman E Sholey, O.D.

  • Optometrist
  • Worland, WY
  • NPI 1376781872
  NPD (past)

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202169600000",
    "number": "1972645315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8460",
            "city": "JACKSON",
            "state": "WY",
            "postal_code": "830028460",
            "telephone_number": "307-733-4905",
            "fax_number": "307-733-4906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 BUFFALO WAY ST A",
            "city": "JACKSON",
            "state": "WY",
            "postal_code": "83002",
            "telephone_number": "307-733-4905",
            "fax_number": "307-733-4906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WYOMING EYE CARE INC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-13",
        "last_updated": "2008-02-05",
        "status": "A",
        "authorized_official_last_name": "GLENN",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "307-733-4905",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "03628",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Womens Health Center
• Blane A Woodfin, MD
• Piper Worthington, LCSW
• Kristin Lee Wright
• Shawn Brice Wright, CRNA
• Wyoming Medical
• Wyoming Medical Group FLLC
• Katharine A Yoler, M.D.
• Jennifer Lynn Yourk
• Ariel Zablocki

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2008; 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.