Individual
DR. ALVIN L ALBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
400 E 18TH ST, CHEYENNE, WY 82001-4616
(307) 634-4232
(307) 778-8429
Mailing address
400 E 18TH ST, CHEYENNE, WY 82001-4616
(307) 634-4232
(307) 778-8429
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
164T
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0599050001
DMERC
WY
01
—
305932
BLUE CROSS BLUE SHEILD
WY
01
—
36203
DAVIS VISION
WY
Enumeration date
08/22/2005
Last updated
07/08/2007
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