Cheyenne Vision Clinic P.c.

NPI #1942365119 in Cheyenne, Wyoming

Provider Information

NPI Number: 1942365119
Entity Type: Organization
Organization Name: Cheyenne Vision Clinic P.c.
Primary Specialty: Optometrist
Enumeration Date: Dec 27, 2006
Last Updated: May 8, 2009

Practice Location

Address: 1200 E PERSHING BLVD
City: Cheyenne
State: Wyoming
ZIP Code: 82001-3230
Phone: (307) 638-6610

Authorized Official

Name: DR. MARTIN CARROLL, OD
Title: OPTOMETRIST
Phone: (307) 638-6610

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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