Individual
DR. DAVID CARLYLE ELDRED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
2029 BLUEGRASS CIR, CHEYENNE, WY 82009-7368
(307) 638-2020
Mailing address
2029 BLUEGRASS CIR, CHEYENNE, WY 82009-7368
(307) 638-2020
(307) 634-0939
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
250-T
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
113391800
—
WY
Enumeration date
04/22/2006
Last updated
01/13/2015
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