# HEART MOUNTAIN EYECARE GROUP

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1336355627
- **Authorized official:** DR. JOSEPH GREG TOLAND (OWNER)
- **Authorized official phone:** (307) 754-7151

## Contact information

- **Practice address:** 255 W 3RD ST, POWELL, WY 82435-2321
- **Practice address phone:** (307) 754-7151
- **Practice address fax:** (307) 754-4261
- **Mailing address:** PO BOX 231, POWELL, WY 82435-0231
- **Mailing address phone:** (307) 754-7151
- **Mailing address fax:** (307) 754-4261

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152WC0802X | Corneal and Contact Management Optometrist | — | WY | Yes |

## Other

- **Enumeration date:** 05/15/2007
- **Last updated:** 12/11/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 05644001 | BCBS OF WYOMING | WY |
| 05 | — | 120171900 | — | WY |
| 01 | — | DB5764 | PALMETTO GBA | WY |