Organization
BASIN VISION CENTER, P. C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONATHAN M HARTLEY O.D. (CEO AND PRESIDENT)
(307) 587-4206
Entity
Organization
Contact information
Practice address
620 19TH ST, CODY, WY 82414-3305
(307) 587-4206
(307) 587-5539
Mailing address
PO BOX 2810, CODY, WY 82414-2810
(307) 587-4206
(307) 587-5539
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
03/14/2007
Last updated
12/18/2020
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