Individual
DR. TERENCE JOHN COLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1531 BLEISTEIN, CODY, WY 82414
(307) 587-4206
(307) 587-5539
Mailing address
PO BOX 2810, 1531 BLEISTEIN, CODY, WY 82414
(307) 587-4206
(307) 587-5539
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
102T
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1068500
—
WY
01
—
305754
BCBS
WY
01
—
9010
MEDICARE GROUP
WY
Enumeration date
10/23/2006
Last updated
07/08/2007
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