Organization
EYE CARE FOR YOU, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RANDY E WADDELL O (MEMBER)
(307) 765-2998
Entity
Organization
Contact information
Practice address
426 GREYBULL AVE, GREYBULL, WY 82426-2037
(307) 765-2998
(307) 765-2614
Mailing address
426 GREYBULL AVE, GREYBULL, WY 82426-2037
(307) 765-2998
(307) 765-2614
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
133T
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103668800
—
WY
05
—
138312400
—
WY
Enumeration date
06/10/2014
Last updated
01/02/2015
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