Organization Active NPI

Wyoming Vision Collective Desert View Eye Care

  • Optometrist
  • Green River, WY
National Provider Identifier
1992693113
Registry record updated Aug 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
WYOMING VISION COLLECTIVE DESERT VIEW EYE CARE
Practice address
170 Commerce Dr Ste C
Green River, WY 82935-6156
Phone
(307) 875-3399
Fax
(307) 875-3778
NPI assigned
Jun 26, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2025

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

Authorized official

Name
Haleigh Robertson
Title
Minority Owner/Office Manager
Phone
(307) 371-3627

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

170 Commerce Dr Ste C
Green River, WY 82935-6156

Mailing address

170 Commerce Dr Ste C
Green River, WY 82935-6156
Phone (307) 875-3399

Other names 1

  • Desert View Eye Care Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250827003519 WY Part B Supplier - Clinic/Group Practice 8729589254 Receives reassigned benefits from 1 practitioner
Practice locations: Green River, WY

National Provider Directory

National Provider Directory

Locations

170 Commerce Dr
Ste C
Green River, WY 82935
Phone (307) 875-3399

Practitioners & affiliated clinicians

Practitioners 2

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": "1750896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756252800000",
    "number": "1992693113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 COMMERCE DR STE C",
            "city": "GREEN RIVER",
            "state": "WY",
            "postal_code": "829356156",
            "telephone_number": "307-875-3399",
            "fax_number": "307-875-3778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 COMMERCE DR STE C",
            "city": "GREEN RIVER",
            "state": "WY",
            "postal_code": "829356156",
            "telephone_number": "307-875-3399",
            "fax_number": "307-875-3778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WYOMING VISION COLLECTIVE DESERT VIEW EYE CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-26",
        "last_updated": "2025-08-27",
        "certification_date": "2025-08-27",
        "status": "A",
        "authorized_official_last_name": "ROBERTSON",
        "authorized_official_first_name": "HALEIGH",
        "authorized_official_title_or_position": "MINORITY OWNER/OFFICE MANAGER",
        "authorized_official_telephone_number": "307-371-3627"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Desert View Eye Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Desert View Eye Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Green River, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2025; 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.