Organization
YOUR FAMILY OPTICAL
Active
Parent organization
YOUR FAMILY OPTICAL
Organization subpart
Yes
Provider details
NPI number
Legal business name
YOUR FAMILY OPTICAL
Authorized official
MRS. MARY E JACKSON OPTICIAN (OFFICE MANAGER)
(307) 638-0260
Entity
Organization
Contact information
Practice address
4214 CHEYENNE ST, CHEYENNE, WY 82001-1923
(307) 638-0260
(307) 514-4348
Mailing address
4214 CHEYENNE ST, CHEYENNE, WY 82001-1923
(307) 638-0260
(307) 514-4348
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
—
Other
Enumeration date
08/24/2007
Last updated
08/24/2007
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