National Provider Identifier Database

LOWER VALLEY VISION CLINIC INC
Optometrist

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye.


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
* Optometrist 152W00000X
Eyewear Supplier 332H00000X

* Indicates primary specialty

NPI Profile & details for LOWER VALLEY VISION CLINIC INC

NPI Number 1336212158
Legal business name
LBN
LOWER VALLEY VISION CLINIC INC
Authorized official LUKE BROG - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 11/17/2006
Last updated 03/25/2013 - About 13 years ago
Sole proprietor1 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

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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