Organization
SANDROCK VISION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SKEETER JOHN SHOULTS (OFFICE MANAGER)
(307) 340-0700
Entity
Organization
Contact information
Practice address
802 S. MAIN ST., LUSK, WY 82225-0000
(307) 340-0700
Mailing address
3107 GOLDENROD AVE, GILLETTE, WY 82716-2287
(307) 340-0700
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
317T
WY
Other
Enumeration date
09/30/2008
Last updated
09/02/2010
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