| Charles R Vandervort, OD | |
|
665 Uinta Dr, Green River, WY 82935-5031 | |
| (307) 875-4538 | |
| (307) 875-8997 |
| Full Name | Charles R Vandervort |
|---|---|
| Gender | Male |
| Speciality | Optometrist |
| Location | 665 Uinta Dr, Green River, Wyoming |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629047758 | NPI | - | NPPES |
| 114697100 | Medicaid | WY | |
| 001798001 | Other | WY | BLUE CROSS BLUE SHIELD |
| 410040553 | Other | WY | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 101T (Wyoming) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Charles R Vandervort, OD 665 Uinta Dr, Green River, WY 82935-5031 Ph: (307) 875-4538 | Charles R Vandervort, OD 665 Uinta Dr, Green River, WY 82935-5031 Ph: (307) 875-4538 |
Dr. Jeffrey A Wilson, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 170 Commerce Dr Ste C, Green River, WY 82935 Phone: 307-875-3399 Fax: 307-875-3778 | |
Dr. Amasa L Mecham, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 170 Commerce Dr Ste C, Green River, WY 82935 Phone: 307-875-3399 | |
Eye Care Specialists Of Green River Optometrist Medicare: Not Enrolled in Medicare Practice Location: 665 Uinta Dr, Green River, WY 82935 Phone: 307-875-4538 Fax: 307-875-8997 | |
Desert View Eye Care, Lc Optometrist Medicare: Medicare Enrolled Practice Location: 170 Commerce Dr Ste C, Green River, WY 82935 Phone: 307-875-3399 Fax: 307-875-3778 |