Organization
POWDER HORN EYE CARE, LLC
Active
Other names
Wyoming Eye Associates, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
JASON B WHITMAN OD (PRESIDENT)
(307) 439-0100
Entity
Organization
Contact information
Practice address
4621 SW WYOMING BLVD, CASPER, WY 82601-6702
(307) 439-0100
(307) 439-1062
Mailing address
4621 SW WYOMING BLVD, CASPER, WY 82601-6702
(307) 439-0100
(307) 439-1062
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
282T
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
155826900
—
WY
Enumeration date
04/08/2008
Last updated
05/24/2022
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