Individual
TERRY L ADAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
520 COLLEGE DR, TORRINGTON, WY 82240-1517
(307) 532-2060
(307) 532-5710
Mailing address
520 COLLEGE DR, TORRINGTON, WY 82240-1517
(307) 532-2060
(307) 532-5710
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
123T
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103452900
—
WY
01
—
310522
BCBS PROVIDER NUMBER
WY
01
—
410016780
RR MEDICARE PROVIDER NUMB
WY
Enumeration date
12/14/2006
Last updated
04/22/2008
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