| |
426 Nevada Ave, Lovell, WY 82431-1916 | |
(307) 548-7450 | |
(307) 548-7596 |
Full Name | |
---|---|
Type | Facility |
Speciality | Optometrist |
Location | 426 Nevada Ave, Lovell, Wyoming |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1265423057 | NPI | - | NPPES |
306557 | Other | BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 140T (Wyoming) | Primary |
Mailing Address | Practice Location Address |
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Po Box 785, Lovell, WY 82431-0785 Ph: (307) 548-7450 | 426 Nevada Ave, Lovell, WY 82431-1916 Ph: (307) 548-7450 |