ADVANCED EYE CARE CLINIC PC NPI 1922133677

NPI Information

NPI: 1922133677
Provider Name: ADVANCED EYE CARE CLINIC PC

Former Legal Business Name: ADVANCED EYE CLINIC PC

Classification: Clinic/Center - 261QH0100X
Entity Type: Organization

Specialization: Health Service

Address:
2029 BLUEGRASS CIR
CHEYENNE, WY
ZIP 82009
Phone: (307) 638-2020
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ADVANCED EYE CARE CLINIC PC is a health service clinic center in Cheyenne, WY. ADVANCED EYE CARE CLINIC PC NPI is 1922133677. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Advanced Eye Clinic Pc.

The provider's business location address is:

2029 BLUEGRASS CIR
CHEYENNE, WY
ZIP 82009-368
Phone: (307) 638-2020
Fax: (307) 634-0939

The provider's authorized official is David Carlyle Eldred .
The authorized official title is Owner and has the following contact phone number (307) 638-2020.

The enumeration date for this NPI number is 2/22/2007 and was last updated on 8/10/2011.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QH0100X	Clinic/Center	Health Service	103T	WYOMING	No
2	261QH0100X	Clinic/Center	Health Service	250T	WYOMING	Yes

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

NPI Synchronization or Removal

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