Organization
HEART MOUNTAIN EYECARE GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH GREG TOLAND (OWNER)
(307) 754-7151
Entity
Organization
Contact information
Practice address
255 W 3RD ST, POWELL, WY 82435-2321
(307) 754-7151
(307) 754-4261
Mailing address
PO BOX 231, POWELL, WY 82435-0231
(307) 754-7151
(307) 754-4261
Taxonomy
Speciality
Code
Description
License number
State
152WC0802X
Corneal and Contact Management Optometrist
Primary
—
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05644001
BCBS OF WYOMING
WY
05
—
120171900
—
WY
01
—
DB5764
PALMETTO GBA
WY
Enumeration date
05/15/2007
Last updated
12/11/2008
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