Mud Springs Vision Clinic, Inc.

NPI #1043554686 in Wheatland, Wyoming

Provider Information

NPI Number: 1043554686
Entity Type: Organization
Organization Name: Mud Springs Vision Clinic, Inc.
Primary Specialty: Optometrist
Enumeration Date: Nov 20, 2012
Last Updated: Nov 20, 2012

Practice Location

Address: 404 9TH ST
City: Wheatland
State: Wyoming
ZIP Code: 82201-2910
Phone: (307) 322-9747

Authorized Official

Name: JAIME A HAZEN, O.D.
Title: OWNER
Phone: (307) 322-9747

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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