Organization
NORTHERN WYOMING OPHTHALMOLOGY, P.C.
Active
Parent organization
NORTHERN WYOMING OPHTAHLMOLOGY, PC
Other names
New Image Eyewear
Organization subpart
Yes
Provider details
NPI number
Legal business name
NORTHERN WYOMING OPHTAHLMOLOGY, PC
Authorized official
DR. BARRY P. WELCH M.D. (OWNER)
(307) 587-5788
Entity
Organization
Contact information
Practice address
424 YELLOWSTONE AVE, SUITE 110, CODY, WY 82414-3423
(307) 587-5788
(307) 587-4896
Mailing address
424 YELLOWSTONE AVE, SUITE 110, CODY, WY 82414-3423
(307) 587-5788
(307) 587-4896
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
113960600
—
WY
Enumeration date
06/05/2007
Last updated
03/21/2012
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