| Wortham Vision Care,inc. | |
|
106 S Main, Lyman, WY 82937 | |
| (307) 787-6123 | |
| (307) 787-3351 |
| Full Name | Wortham Vision Care,inc. |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 106 S Main, Lyman, Wyoming |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154571826 | NPI | - | NPPES |
| 102280600 | Medicaid | WY | |
| CN2934 | Other | WY | RR MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 231H00000X | Audiologist | A933 (Wyoming) | Secondary |
| 152W00000X | Optometrist | T197 (Wyoming) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Wortham Vision Care,inc. Po Box 429, Lyman, WY 82937-0429 Ph: (307) 787-6123 | Wortham Vision Care,inc. 106 S Main, Lyman, WY 82937 Ph: (307) 787-6123 |
Valley Vision Center, Pc Optometrist Medicare: Medicare Enrolled Practice Location: 106 S. Main St., Lyman, WY 82937 Phone: 307-787-6123 Fax: 307-787-3351 | |
Dr. Travis John Shelton, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 106 S.main St., Lyman, WY 82937 Phone: 307-787-6123 Fax: 307-787-3351 |