Organization
BACK ENTERPRISES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TERESA TAYLOR-BACK O.D. (PRESIDENT/OWNER)
(307) 265-3000
Entity
Organization
Contact information
Practice address
327 THELMA DRIVE, CASPER, WY 82609
(307) 265-3000
(307) 265-1890
Mailing address
327 THELMA DRIVE, CASPER, WY 82609
(307) 265-3000
(307) 265-1890
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
05/28/2015
Last updated
08/04/2015
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