Black Hills Regional Eye Institute, LLP

NPI #1689863839 in Gillette, Wyoming

Provider Information

NPI Number: 1689863839
Entity Type: Organization
Organization Name: Black Hills Regional Eye Institute, LLP
Primary Specialty: Ophthalmology
Enumeration Date: Oct 23, 2007
Last Updated: May 24, 2021

Practice Location

Address: 3100 WEST LAKEWOOD ROAD
Address 2: SUITE 2
City: Gillette
State: Wyoming
ZIP Code: 82718-4135
Phone: (307) 686-0883

Authorized Official

Name: MRS. JODI L ANDERSON, CPA
Title: CHIEF FINANCIAL OFFICER
Phone: (605) 341-2000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X
Ophthalmology	207W00000X	Primary

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