Organization
SHERIDAN OPTICAL II, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY CORLEY (OFFICE MANAGER)
(307) 673-5177
Entity
Organization
Contact information
Practice address
25 E GRINNELL PLAZA, SHERIDAN, WY 82801
(307) 672-7777
Mailing address
25 E GRINNELL PLAZA, SHERIDAN, WY 82801
(307) 672-7777
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
12/30/2015
Last updated
12/30/2015
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