| |
426 Nevada Ave, Lovell, WY 82431-1916 | |
(307) 548-7450 | |
(307) 548-7596 |
Full Name | |
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Type | Facility |
Speciality | Optometrist |
Location | 426 Nevada Ave, Lovell, Wyoming |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1326459835 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 327T (Wyoming) | Primary |
Mailing Address | Practice Location Address |
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426 Nevada Ave, Lovell, WY 82431-1916 Ph: (307) 548-7450 | 426 Nevada Ave, Lovell, WY 82431-1916 Ph: (307) 548-7450 |