Organization
CASPER VISION CENTER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL L. GUSTAFSON OD (OPTOMETRIST)
(307) 237-9494
Entity
Organization
Contact information
Practice address
3501 CASPER MOUNTAIN RD, CASPER, WY 82601-6073
(307) 237-9494
(307) 237-1370
Mailing address
3501 CASPER MOUNTAIN RD, CASPER, WY 82601-6073
(307) 237-9494
(307) 237-1370
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
125T
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100076400
—
WY
05
—
115863500
—
WY
Enumeration date
01/22/2007
Last updated
01/15/2026
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