Organization
SHERIDAN EYE CARE CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAM HOFFMANN O.D. (VICE PRESIDENT)
(307) 675-2020
Entity
Organization
Contact information
Practice address
116 S MAIN ST, SHERIDAN, WY 82801-4224
(307) 675-2020
Mailing address
116 S MAIN ST, SHERIDAN, WY 82801-4224
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
106204200
—
WY
Enumeration date
07/15/2006
Last updated
01/24/2013
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