Desert View Eye Care, LC

Primary specialty

OptometristTaxonomy code 152W00000X

License

297T Issued in WY

Legal business name

DESERT VIEW EYE CARE, LC

Practice address

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

Phone

(307) 875-3399

Fax

(307) 875-3778

NPI assigned

Jul 6, 2006

Last updated

Dec 11, 2023By 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

Dr. Jeffrey A Wilson, O.D.

Title

Owner/Manager

Phone

(307) 875-3399

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WY

Enrollment records 1

Locations

Practitioners 2

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.

• Scott Wesley Robertson, OD

  • Optometrist
  • Green River, WY
  • NPI 1942048905
  Medicare reassignment
• Robert D. Schaffarzick, O.D.

  • Optometrist
  • Kemmerer, WY
  • NPI 1235107954
  NPD (past)

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702252800000",
    "number": "1992736813",
    "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": [
        {
            "address_1": "816 Klondyke St",
            "address_purpose": "LOCATION",
            "city": "Kemmerer",
            "state": "WY",
            "postal_code": "831012903",
            "country_code": "US",
            "telephone_number": "307-875-3399",
            "fax_number": "307-875-3778",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DESERT VIEW EYE CARE, LC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-06",
        "last_updated": "2023-12-11",
        "certification_date": "2023-12-07",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "307-875-3399",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "WY",
            "license": "297T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Haylen R Cordova, DPT, PT
• Kendahl Coy
• Cynthia C Crider, LPC
• Yolanda Y Crowder, LCSW, RPT-S
• D. Wayne Birch, D.D.S., P.C.
• Vallory Dodson
• Tienna Dunlap
• Elevate Mind & Health
• Lynn Perrins Eskelson, M.D.
• Jacob Flores, DPT

• Optometrist in Green River, WY
• Providers in Green River, WY by specialty
• Optometrist in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2023; 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.