Lower Valley Vision Clinic Inc

LBN: Lower Valley Vision Clinic Inc
Lower Valley Vision Clinic Inc is an health care organization with primary practice located at 491 N Main St Suite A, Thayne WY 83127-9768. The organization recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Suppliers / Eyewear Supplier (Equipment, not the service). Eye and Vision Services Providers / Optometrist is the primary health care specialty. Lower Valley Vision Clinic Inc can be contacted via phone (307) 883-4678, or through Brog, Luke via phone (307) 883-4678.

Contact Information

Primary practice address
491 N Main St Suite A Thayne WY 83127-9768
Phone: (307) 883-4678
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Brog, Luke Doctor of Optometry (OD)
Phone: (307) 883-4678

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 296T Wyoming
Suppliers / Eyewear Supplier (Equipment, not the service) 332H00000X 296T Wyoming

Profile Details

NPI number 1336212158
LBN Legal business name Lower Valley Vision Clinic Inc
DBA Doing business as
Authorized official Brog, Luke Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 17th, 2006
Last updated Mar 25th, 2013 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336212158 NPPES
Wyoming MEDICAID 121600700
Wyoming Other 313773
Wyoming Other 5646844
Wyoming Other 285174

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