Kortny Clayton Lancaster, OD | |
556 Main St, Lander, WY 82520-3032 | |
(307) 332-2020 | |
Not Available |
Full Name | Kortny Clayton Lancaster |
---|---|
Gender | Male |
Speciality | Optometrist |
Location | 556 Main St, Lander, Wyoming |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1699401182 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 452T (Wyoming) | Primary |
Provider Name | Lander Vision Center Pc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1477680791 PECOS PAC ID: 2365584489 Enrollment ID: O20100127000430 |
Provider Name | Lander Vision Source Pc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1902587751 PECOS PAC ID: 5991150328 Enrollment ID: O20231004003722 |
Mailing Address | Practice Location Address |
---|---|
Kortny Clayton Lancaster, OD 556 Main St, Lander, WY 82520-3032 Ph: (307) 332-2020 | Kortny Clayton Lancaster, OD 556 Main St, Lander, WY 82520-3032 Ph: (307) 332-2020 |
Lander Vision Center, Pc Optometrist Medicare: Medicare Enrolled Practice Location: 556 Main St, Lander, WY 82520 Phone: 307-332-2020 Fax: 307-332-5718 | |
Dr. Jennifer Rae Rodgers, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 278 Main St, Lander, WY 82520 Phone: 307-332-7284 Fax: 307-332-7285 | |
Lander Vision Source Pc Optometrist Medicare: Medicare Enrolled Practice Location: 556 Main St, Lander, WY 82520 Phone: 307-332-2020 Fax: 307-332-5718 | |
Dr. David Wayne Rodgers, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 278 Main St, Lander, WY 82520 Phone: 307-332-7284 Fax: 307-332-7285 | |
Mikel Robert Weideman, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 556 Main St, Lander, WY 82520 Phone: 307-332-2020 |