# A NEW CONCEPT OPTICAL & EYECARE

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

## Provider details

- **NPI number:** 1891912846
- **Authorized official:** JULIE V PERALA (OFFICE MANAGER)
- **Authorized official phone:** (307) 634-2503

## Contact information

- **Practice address:** 2528 DELL RANGE BLVD, CHEYENNE, WY 82009-5273
- **Practice address phone:** (307) 634-2503
- **Practice address fax:** (307) 634-4878
- **Mailing address:** 2528 DELL RANGE BLVD, CHEYENNE, WY 82009-5273
- **Mailing address phone:** (307) 634-2503
- **Mailing address fax:** (307) 634-4878

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152WC0802X | Corneal and Contact Management Optometrist | 220T | WY | Yes |

## Other

- **Enumeration date:** 04/19/2007
- **Last updated:** 06/03/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 116426100 | — | WY |