Lander Vision Source Pc | |
556 Main St, Lander, WY 82520-3032 | |
(307) 332-2020 | |
(307) 332-5718 |
Full Name | Lander Vision Source Pc |
---|---|
Type | Facility |
Speciality | Optometrist |
Location | 556 Main St, Lander, Wyoming |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1902587751 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (* (Not Available)) | Primary |
Provider Name | Kortny C Lancaster |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1699401182 PECOS PAC ID: 9931583358 Enrollment ID: I20221102002898 |
Mailing Address | Practice Location Address |
---|---|
Lander Vision Source Pc 556 Main St, Lander, WY 82520-3032 Ph: (307) 332-2020 | Lander Vision Source Pc 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 | |
Kortny Clayton Lancaster, OD Optometrist Medicare: Medicare Enrolled Practice Location: 556 Main St, Lander, WY 82520 Phone: 307-332-2020 | |
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 |