Organization
MICHAEL K. HUGHES, OD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL K. HUGHES O. D. (OPTOMETRIST)
(307) 682-2747
Entity
Organization
Contact information
Practice address
1103 E BOXELDER RD, SUITE F, GILLETTE, WY 82718-5582
(307) 682-2747
(307) 686-9984
Mailing address
1103 E BOXELDER RD, SUITE F, GILLETTE, WY 82718-5582
(307) 682-2747
(307) 686-9984
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
129-T
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
115074000
—
WY
Enumeration date
08/12/2008
Last updated
08/12/2008
Update your record
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