Basin Vision Center, P. C.

NPI #1689707820 in Cody, Wyoming

Provider Information

NPI Number: 1689707820
Entity Type: Organization
Organization Name: Basin Vision Center, P. C.
Primary Specialty: Optometrist
Enumeration Date: Mar 14, 2007
Last Updated: Dec 18, 2020

Practice Location

Address: 620 19TH ST
City: Cody
State: Wyoming
ZIP Code: 82414-3305
Phone: (307) 587-4206

Authorized Official

Name: DR. JONATHAN M HARTLEY, O.D.
Title: CEO AND PRESIDENT
Phone: (307) 587-4206

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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