Family Vision Center PC

NPI #1740349554 in Cheyenne, Wyoming

Provider Information

NPI Number: 1740349554
Entity Type: Organization
Organization Name: Family Vision Center PC
Primary Specialty: Optometrist
Enumeration Date: Dec 7, 2006
Last Updated: Mar 10, 2009

Practice Location

Address: 400 E 18TH ST
City: Cheyenne
State: Wyoming
ZIP Code: 82001-4616
Phone: (307) 634-4232

Authorized Official

Name: DR. THERESA JO HAAS, OD
Title: PRESIDENT
Phone: (307) 634-4232

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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