Organization
FRONTIER EYE CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DOUGLAS JOHN HODGSON O.D. (OPTOMETRIST)
(307) 277-5282
Entity
Organization
Contact information
Practice address
5880 E 2ND ST STE 100, CASPER, WY 82609-4389
(307) 472-2020
Mailing address
PO BOX 50871, CASPER, WY 82605-0871
(307) 277-5282
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
268T
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
132819100
—
WY
Enumeration date
10/17/2011
Last updated
10/06/2016
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