Lander Vision Center, PC

NPI #1477680791 in Lander, Wyoming

Provider Information

NPI Number: 1477680791
Entity Type: Organization
Organization Name: Lander Vision Center, PC
Primary Specialty: Optometrist
Enumeration Date: Feb 27, 2007
Last Updated: Dec 10, 2009

Practice Location

Address: 556 MAIN ST
City: Lander
State: Wyoming
ZIP Code: 82520-3032
Phone: (307) 332-2020

Authorized Official

Name: DR. MIKEL ROBERT WEIDEMAN, O.D.
Title: PRESIDENT
Phone: (307) 332-2020

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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