Individual
DR. JACEE RENEE COTTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
1401 AIRPORT PARKWAY, SUITE 120, CHEYENNE, WY 82001
(307) 775-0800
(307) 775-0808
Mailing address
1401 AIRPORT PARKWAY, SUITE 120, CHEYENNE, WY 82001
(307) 775-0800
(307) 775-0808
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
266T
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
116782100
—
WY
05
—
119985400
—
WY
Enumeration date
10/03/2006
Last updated
07/08/2007
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