Individual
TODD E SHOLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
544 BROADWAY ST, ROCK SPRINGS, WY 82901-6346
(307) 382-3937
(307) 382-2918
Mailing address
544 BROADWAY ST, ROCK SPRINGS, WY 82901-6346
(307) 382-3937
(307) 382-2918
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
205T
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103246100
—
WY
Enumeration date
10/03/2005
Last updated
05/02/2008
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