Mud Springs Vision Clinic, Inc. | |
404 9th St, Wheatland, WY 82201-2910 | |
(307) 322-9747 | |
(307) 322-9776 |
Full Name | Mud Springs Vision Clinic, Inc. |
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Type | Facility |
Speciality | Optometrist |
Location | 404 9th St, Wheatland, Wyoming |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1043554686 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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152W00000X | Optometrist | 340T (Wyoming) | Primary |
Provider Name | Jaime A Hazen |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1164770988 PECOS PAC ID: 4688824626 Enrollment ID: I20121108000516 |
Mailing Address | Practice Location Address |
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Mud Springs Vision Clinic, Inc. 404 9th St, Wheatland, WY 82201-2910 Ph: (307) 322-9747 | Mud Springs Vision Clinic, Inc. 404 9th St, Wheatland, WY 82201-2910 Ph: (307) 322-9747 |
Dr. Jaime Hazen, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 404 9th St, Wheatland, WY 82201 Phone: 307-322-9747 | |
Splitrock Vision Clinic P C Inc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 404 9th St, Wheatland, WY 82201 Phone: 307-322-9747 Fax: 307-322-9776 | |
David J. Halsey, O.d. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 404 9th St, Wheatland, WY 82201 Phone: 307-322-9747 Fax: 307-322-7996 | |
David J Halsey, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 404 9th St, Wheatland, WY 82201 Phone: 307-322-9747 Fax: 307-322-9776 |