POWDER HORN EYE CARE LLC NPI 1760655054

NPI Information

POWDER HORN EYE CARE, LLC is a clinic center in Casper, WY. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). POWDER HORN EYE CARE, LLC NPI is 1760655054. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Wyoming Eye Associates, Llc.

The provider's business location address is:

4621 SW WYOMING BLVD
CASPER, WY
ZIP 82601-702
Phone: (307) 439-0100
Fax: (307) 439-1062

The provider's authorized official is Jason B Whitman .
The authorized official title is President and has the following contact phone number (307) 439-0100.

The enumeration date for this NPI number is 4/8/2008 and was last updated on 5/24/2022.

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:

Other Identifiers

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

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