Organization
CHEYENNE VISION CLINIC P.C.
Active
Other names
Laramie Vision Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARTIN CARROLL (OWNER)
(307) 638-6610
Entity
Organization
Contact information
Practice address
408 S 2ND ST, LARAMIE, WY 82070-3614
(307) 721-3937
Mailing address
1200 E PERSHING BLVD, CHEYENNE, WY 82001-3230
(307) 638-6610
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
11/05/2012
Last updated
11/05/2012
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