Individual
DR. JEREMY T NETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
400 E 18TH ST, CHEYENNE, WY 82001-4616
(307) 634-4232
(307) 778-8429
Mailing address
400 E 18TH ST, CHEYENNE, WY 82001
(307) 634-4232
(307) 778-8429
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
308T
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
123387400
—
WY
Enumeration date
09/21/2006
Last updated
10/13/2008
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