Family Vision Clinic | |
1708 Stampede Ave, Cody, WY 82414-4829 | |
(307) 587-2404 | |
(307) 527-7368 |
Full Name | Family Vision Clinic |
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Type | Facility |
Speciality | Optometrist |
Location | 1708 Stampede Ave, Cody, Wyoming |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1104237601 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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152W00000X | Optometrist | 327T (Wyoming) | Primary |
Provider Name | Jacob G Despain |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1124284997 PECOS PAC ID: 6406914266 Enrollment ID: I20130611000812 |
Mailing Address | Practice Location Address |
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Family Vision Clinic 1708 Stampede Ave, Cody, WY 82414-4829 Ph: (307) 587-2404 | Family Vision Clinic 1708 Stampede Ave, Cody, WY 82414-4829 Ph: (307) 587-2404 |
Dr. Jacob G Despain, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1708 Stampede Ave, Cody, WY 82414 Phone: 307-587-2404 Fax: 307-527-7368 | |
Dr. Jonathan Hartley, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 620 19th St, Cody, WY 82414 Phone: 307-587-4206 Fax: 307-587-5539 | |
Dr. James Harvey Bell, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 620 19th St, Cody, WY 82414 Phone: 307-587-4206 Fax: 307-587-5539 | |
Alisa K Stewart, OPTICIAN Optometrist Medicare: Not Enrolled in Medicare Practice Location: 424 Yellowstone Ave, Suite 110, Cody, WY 82414 Phone: 307-587-5788 | |
Mr. Richard D Jones, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1708 Stampede Ave, Cody, WY 82414 Phone: 307-587-2404 Fax: 307-527-7368 | |
Dr. Terence John Cole, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1531 Bleistein, Cody, WY 82414 Phone: 307-587-4206 Fax: 307-587-5539 |