Lower Valley Vision Clinic INC

NPI #1336212158 in Thayne, Wyoming

Provider Information

NPI Number
1336212158
Entity Type
Organization
Organization Name
Lower Valley Vision Clinic INC
Primary Specialty
Optometrist
Enumeration Date
Nov 17, 2006
Last Updated
Mar 25, 2013

Practice Location

Address
491 N MAIN ST
Address 2
SUITE A
City
Thayne
State
Wyoming
ZIP Code
83127-9768
Phone
(307) 883-4678

Authorized Official

Name
DR. LUKE BROG, O.D.
Title
PRESIDENT
Phone
(307) 883-4678

Specialties & Taxonomy Codes

Specialty
Eyewear Supplier
Optometrist

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