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Contact Information

LOWER VALLEY VISION CLINIC INC
491 N MAIN ST
SUITE A
THAYNE, WY83127-9768
 Phone: 307-883-4678
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
 

Eyewear Supplier

332H00000X 87 All Other Suppliers
Indicates primary specialty

NPI Profile & details for LOWER VALLEY VISION CLINIC INC · (Female)

NPI Number 1336212158
Status Active
Credentials
Entity Individual
Enumeration date 11/17/2006
Last updated 03/25/2013 - About 13 years ago
Sole proprietor 1 Not specified
Identifiers
  • WY License # 296T
  • WY Medicaid 121600700
  • WY Other 285174 ALTIUS HEALTH PLANS
  • WY Other 313773 BLUE CROSS BLUE SHIELD
  • WY Other 5646844 CBSA
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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