| Gillette Optometric Clinic Pc | |
|
609 4j Ct, Gillette, WY 82716-4135 | |
| (307) 682-2020 | |
| (307) 682-5656 |
| Full Name | Gillette Optometric Clinic Pc |
|---|---|
| Type | Facility |
| Speciality | Optometrist - Corneal And Contact Management |
| Location | 609 4j Ct, Gillette, Wyoming |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891850707 | NPI | - | NPPES |
| 103952100 | Medicaid | WY | |
| 1659399376 | Other | WY | ROBERT MILLS, OD |
| 1972537561 | Other | WY | ROGER JORDAN, OD |
| 1023035854 | Other | WY | DANA MCDERMOTT, OD |
| 103718800 | Medicaid | WI | |
| 11504720 | Medicaid | WY | |
| 11903420 | Medicaid | WY | |
| 1265466320 | Other | WY | JOSEPH MAYCOCK, OD |
| Provider Name | Joseph C Maycock |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1265466320 PECOS PAC ID: 2769370683 Enrollment ID: I20040310000804 |
| Provider Name | Robert L Mills |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1659399376 PECOS PAC ID: 6305732496 Enrollment ID: I20060208000388 |
| Provider Name | Roger L Jordan |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1972537561 PECOS PAC ID: 8628964798 Enrollment ID: I20060208000425 |
| Provider Name | Joseph L Fischer |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1154639201 PECOS PAC ID: 5890975536 Enrollment ID: I20110324000252 |
| Provider Name | Ashlee Elisabeth Fischer |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1710212378 PECOS PAC ID: 6204008287 Enrollment ID: I20111017000783 |
| Provider Name | Melissa Marie Serreyn Younger |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1770818858 PECOS PAC ID: 0143488643 Enrollment ID: I20161122002254 |
| Mailing Address | Practice Location Address |
|---|---|
| Gillette Optometric Clinic Pc 609 4j Ct, Gillette, WY 82716-4135 Ph: (307) 682-2020 | Gillette Optometric Clinic Pc 609 4j Ct, Gillette, WY 82716-4135 Ph: (307) 682-2020 |
Dr. Joseph Leonard Fischer, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 609 4j Ct, Gillette, WY 82716 Phone: 307-682-2020 Fax: 307-682-5656 | |
Carla Deann Shoults, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 3107 Goldenrod Ave, Gillette, WY 82716 Phone: 307-689-5798 | |
Dr. Daryle L Clark, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 312 E Lakeway Rd, Gillette, WY 82718 Phone: 307-687-7353 Fax: 307-686-1052 | |
Dr. Sarah Lynn Koehn, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 312 E Lakeway Rd, Gillette, WY 82718 Phone: 307-686-8199 Fax: 307-686-1052 | |
Dr. Joseph C Maycock, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 609 4j Ct, Gillette, WY 82716 Phone: 307-682-2020 Fax: 307-682-5656 | |
Michael K. Hughes, O. D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1103 E. Boxelder Rd., Suite F, Gillette, WY 82718 Phone: 307-682-2747 Fax: 307-686-9984 | |
Bruce Gordon Johnson, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2610 South Douglas Highway, Suite 190, Gillette, WY 82718 Phone: 307-682-7861 |