Organization
CLEAR CREEK VISION CARE, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA E GLENN O.D. (PRESIDENT)
(307) 367-2727
Entity
Organization
Contact information
Practice address
376 N. SUBLETTE, PINEDALE, WY 82941
(307) 367-2727
(307) 367-2727
Mailing address
376 N. SUBLETTE, PO BOX 907, PINEDALE, WY 82941
(307) 367-2727
(307) 367-2727
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
02/13/2007
Last updated
08/22/2020
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