Sandrock Vision, LLC

NPI #1528218260 in Lusk, Wyoming

Provider Information

NPI Number: 1528218260
Entity Type: Organization
Organization Name: Sandrock Vision, LLC
Primary Specialty: Optometrist
Enumeration Date: Sep 30, 2008
Last Updated: Sep 2, 2010

Practice Location

Address: 802 S. MAIN ST.
City: Lusk
State: Wyoming
ZIP Code: 82225-0000
Phone: (307) 340-0700

Authorized Official

Name: MR. SKEETER JOHN SHOULTS
Title: OFFICE MANAGER
Phone: (307) 340-0700

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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