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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

NPI # 1336212158
LBN Legal business name LOWER VALLEY VISION CLINIC INC
Authorized official LUKE BROG - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 11/17/2006
Last updated 03/25/2013 - About 13 years ago
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 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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