Charles R. Vandervort, O.D.
NPI #1629047758 in Green River, Wyoming
Provider Information
- NPI Number
- 1629047758
- Entity Type
- Individual
- Name
- Charles R. Vandervort, O.D.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Optometrist
- Credential
- O.D.
- Enumeration Date
- Mar 14, 2006
- Last Updated
- Sep 17, 2012
Practice Location
- Address
- 665 UINTA DR
- City
- Green River
- State
- Wyoming
- ZIP Code
- 82935-5031
- Phone
- (307) 875-4538
Specialties & Taxonomy Codes
| Specialty |
|---|
| Optometrist |
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Organizations
| Provider Name | |
|---|---|
| Charles R. Vandervort, O.d., P.c. | AI Deep Dive |
| Wyoming Vision Collective Desert View Eye Care | AI Deep Dive |
| Desert View Eye Care, Lc | AI Deep Dive |
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