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CHEYENNE OCULAR SURGERY LLC NPI 1326247479


NPI Information

NPI: 1326247479
Provider Name: CHEYENNE OCULAR SURGERY, LLC

Doing Business As: CHEYENNE EYE SURGERY

Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

CLIA Number: 53D1073598

Address:
1300 E 20TH ST
CHEYENNE, WY
ZIP 82001
Phone: (307) 632-2020
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CHEYENNE OCULAR SURGERY, LLC is an ambulatory surgical clinic center in Cheyenne, WY. CHEYENNE OCULAR SURGERY, LLC NPI is 1326247479. The provider is registered as an organization entity type.
The provider Is Doing Business As Cheyenne Eye Surgery.

The provider's business location address is:

1300 E 20TH ST
CHEYENNE, WY
ZIP 82001-021
Phone: (307) 632-2020

The provider's authorized official is Anne E Miller .
The authorized official title is President and has the following contact phone number (307) 632-2020.

The CLIA number assigned to this NPI record is 53D1073598 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/17/2007 and was last updated on 10/19/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QA1903XClinic/CenterAmbulatory Surgical10141WYOMINGYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1W21486MEDICARE UPINWYOMING
212556220MEDICAIDWYOMING

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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