Wyoming Eye Care INC PC

NPI #1972645315 in Jackson, Wyoming

Provider Information

NPI Number: 1972645315
Entity Type: Organization
Organization Name: Wyoming Eye Care INC PC
Primary Specialty: Optometrist
Enumeration Date: Feb 13, 2007
Last Updated: Feb 5, 2008

Practice Location

Address: 110 BUFFALO WAY ST A
City: Jackson
State: Wyoming
ZIP Code: 83002
Phone: (307) 733-4905

Authorized Official

Name: LISA E GLENN, O.D.
Title: PRESIDENT
Phone: (307) 733-4905

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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