Organization
FAMILY VISION AND CONTACT LENS CLINIC, LLC
Active
Other names
Family Vision and Contact Lens Clinic, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EMILY MEIHAK STICKELBERGER OD (OWNER)
(307) 237-8713
Entity
Organization
Contact information
Practice address
1328 E 12TH ST, CASPER, WY 82601-3912
(307) 237-8713
(307) 237-5740
Mailing address
1328 E 12TH ST, CASPER, WY 82601-3912
(307) 237-8713
(307) 237-5740
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
127T
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
122595200
—
WY
01
—
410036494
RAIL ROAD MEDICARE
WY
Enumeration date
05/23/2006
Last updated
04/06/2023
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