Organization
JAMES A BOUCHER & SUE E LOWE PTR
Active
Other names
Snowy Range Vision Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY M POTEET OD (PARTNER)
(307) 742-2020
Entity
Organization
Contact information
Practice address
405 S 30TH ST, LARAMIE, WY 82070-5143
(307) 742-2020
Mailing address
405 S 30TH ST, LARAMIE, WY 82070-5143
(307) 742-2020
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
237T
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
106700100
—
WY
Enumeration date
12/20/2006
Last updated
07/29/2010
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