Cheyenne Vision Clinic P.c.

NPI #1558615179 in Laramie, Wyoming

Provider Information

NPI Number: 1558615179
Entity Type: Organization
Organization Name: Cheyenne Vision Clinic P.c.
Primary Specialty: Optometrist
Enumeration Date: Nov 5, 2012
Last Updated: Nov 5, 2012

Practice Location

Address: 408 S 2ND ST
City: Laramie
State: Wyoming
ZIP Code: 82070-3614
Phone: (307) 721-3937

Authorized Official

Name: DR. MARTIN CARROLL
Title: OWNER
Phone: (307) 638-6610

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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