Organization
KATRAE MJ LLC
Active
Other names
Wind City Eye Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LEVI M PORTER O.D. (OPTOMETRIST)
(503) 504-6941
Entity
Organization
Contact information
Practice address
1526 CENTENNIAL CT, CASPER, WY 82609-7304
(307) 237-6025
(307) 337-3462
Mailing address
1526 CENTENNIAL CT, CASPER, WY 82609-7304
(307) 237-6025
(307) 337-3462
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
299T
WY
Other
Enumeration date
03/09/2017
Last updated
03/09/2017
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