Charles R. Vandervort, O.d., P.c.
NPI #1467697862 in Green River, Wyoming
Provider Information
- NPI Number
- 1467697862
- Entity Type
- Organization
- Organization Name
- Charles R. Vandervort, O.d., P.c.
- Primary Specialty
- Optometrist
- Enumeration Date
- Dec 14, 2008
- Last Updated
- Aug 11, 2010
Practice Location
- Address
- 665 UINTA DR
- City
- Green River
- State
- Wyoming
- ZIP Code
- 82935-5031
- Phone
- (307) 875-4538
Authorized Official
- Name
- CHARLES R VANDERVORT, O.D.
- Title
- PRESIDENT
- Phone
- (307) 875-4538
Specialties & Taxonomy Codes
| Specialty |
|---|
| Optometrist |
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| Charles R. Vandervort, O.D. |  AI Deep Dive |
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Organizations
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| Wyoming Vision Collective Desert View Eye Care | AI Deep Dive |
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