Organization
SPECTUS RLLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NICK J BRATTIS OD (MANAGING PARTNER)
(307) 266-2020
Entity
Organization
Contact information
Practice address
400 E 1ST ST, SUITE 314, CASPER, WY 82601-2561
(307) 266-2020
(307) 234-8074
Mailing address
400 E 1ST ST, SUITE 314, CASPER, WY 82601-2561
(307) 266-2020
(307) 234-8074
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
120-T
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104085500
—
WY
01
—
301361
BLUE CROSS KID CARE
—
01
—
P00075662
MEDICARE-RAILROAD (PALAMETTO)
—
Enumeration date
05/16/2013
Last updated
06/13/2013
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