Organization
MOUNTAIN WEST EYE CARE P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EMILY BRYANT (AUTHORIZED OFFICIAL)
(307) 431-6398
Entity
Organization
Contact information
Practice address
607 BIG HORN AVE, WORLAND, WY 82401-2603
(307) 431-6398
(307) 347-3990
Mailing address
607 BIG HORN AVE, WORLAND, WY 82401-2603
(307) 752-2749
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1043830722
GROUP
WY
05
—
155720300
—
WY
Enumeration date
04/22/2020
Last updated
07/26/2024
Update your record
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