Organization
EYE CARE CLINIC & OPTICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT LEE HOLLY OD (MANAGING PARTNER)
(307) 778-2771
Entity
Organization
Contact information
Practice address
6228 YELLOWSTONE RD, CHEYENNE, WY 82009-3432
(307) 778-2771
(307) 634-5443
Mailing address
6228 YELLOWSTONE RD, CHEYENNE, WY 82009-3432
(307) 778-2771
(307) 634-5443
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
106507600
—
WY
Enumeration date
05/16/2007
Last updated
09/03/2015
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