Powell Vision Clinic | |
106 S Absaroka St, Powell, WY 82435-2708 | |
(307) 754-2020 | |
(307) 754-2020 |
Full Name | Powell Vision Clinic |
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Type | Facility |
Speciality | Optometrist |
Location | 106 S Absaroka St, Powell, Wyoming |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1578714325 | NPI | - | NPPES |
126912700 | Medicaid | WY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 219T (Wyoming) | Primary |
225X00000X | Occupational Therapist | 435 (Wyoming) | Secondary |
Provider Name | Tyler Jon Mcdowell |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1669891453 PECOS PAC ID: 4587087655 Enrollment ID: I20200708000629 |
Provider Name | Carla Rae Iseman |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1437569563 PECOS PAC ID: 2264855345 Enrollment ID: I20200708000804 |
Mailing Address | Practice Location Address |
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Powell Vision Clinic 106 S Absaroka St, Powell, WY 82435-2708 Ph: (307) 754-2020 | Powell Vision Clinic 106 S Absaroka St, Powell, WY 82435-2708 Ph: (307) 754-2020 |
Mrs. Kimberly A Mcdowell, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 106 S Absaroka St, Powell, WY 82435 Phone: 307-754-2020 Fax: 307-754-2020 | |
Dr. Kent H Kienlen, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 401 S Bent St Ste B, Powell, WY 82435 Phone: 307-754-7254 Fax: 307-754-5937 | |
Kent H Kienlen P.c. Optometrist Medicare: Medicare Enrolled Practice Location: 401 S Bent St Ste B, Powell, WY 82435 Phone: 307-754-7254 Fax: 307-754-5937 | |
Heart Mountain Eyecare Group Optometrist Medicare: Medicare Enrolled Practice Location: 255 W 3rd St, Powell, WY 82435 Phone: 307-754-7151 Fax: 307-754-4261 | |
Dr. Joseph Greg Toland, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 255 W 3rd St, Powell, WY 82435 Phone: 307-754-7151 Fax: 307-754-4261 | |
Miss Carla Rae Iseman, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 106 S Absaroka St, Powell, WY 82435 Phone: 307-754-2020 Fax: 307-764-2300 |