Organization
POWELL VISION LLC
Active
Other names
Powell Vision Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY A MCDOWELL OD (DOCTOR OF OPTOMETRY)
(307) 754-2020
Entity
Organization
Contact information
Practice address
106 S ABSAROKA ST, POWELL, WY 82435-2708
(307) 754-2020
(307) 754-2020
Mailing address
106 S ABSAROKA ST, POWELL, WY 82435-2708
(307) 754-2020
(307) 754-2020
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
219T
WY
225X00000X
Occupational Therapist
435
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
126912700
—
WY
Enumeration date
10/09/2008
Last updated
11/07/2017
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