Organization
CARL C. COTTRELL, O.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARL C. COTTRELL O.D. (OWNER/OPTOMETRIST)
(307) 347-6141
Entity
Organization
Contact information
Practice address
820 COBURN AVE, WORLAND, WY 82401-3317
(307) 347-6141
(307) 347-6142
Mailing address
820 COBURN AVE, WORLAND, WY 82401-3317
(307) 347-6141
(307) 347-6142
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
255T
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1134451-00
—
WY
Enumeration date
07/21/2011
Last updated
12/08/2020
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