Organization
A NEW CONCEPT OPTICAL & EYECARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE V PERALA (OFFICE MANAGER)
(307) 634-2503
Entity
Organization
Contact information
Practice address
2528 DELL RANGE BLVD, CHEYENNE, WY 82009-5273
(307) 634-2503
(307) 634-4878
Mailing address
2528 DELL RANGE BLVD, CHEYENNE, WY 82009-5273
(307) 634-2503
(307) 634-4878
Taxonomy
Speciality
Code
Description
License number
State
152WC0802X
Corneal and Contact Management Optometrist
Primary
220T
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
116426100
—
WY
Enumeration date
04/19/2007
Last updated
06/03/2010
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