| Basin Vision Center, P. C. | |
|
620 19th St, Cody, WY 82414-3305 | |
| (307) 587-4206 | |
| (307) 587-5539 |
| Full Name | Basin Vision Center, P. C. |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 620 19th St, Cody, Wyoming |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689707820 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Primary |
| Provider Name | Jonathan M Hartley |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1255523254 PECOS PAC ID: 5698868685 Enrollment ID: I20070907000089 |
| Provider Name | James Harvey Bell |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1326029075 PECOS PAC ID: 6608962303 Enrollment ID: I20100917000559 |
| Provider Name | Kristanza Marie Bronnenberg |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1801437140 PECOS PAC ID: 6002239639 Enrollment ID: I20200714003813 |
| Mailing Address | Practice Location Address |
|---|---|
| Basin Vision Center, P. C. Po Box 2810, Cody, WY 82414-2810 Ph: (307) 587-4206 | Basin Vision Center, P. C. 620 19th St, Cody, WY 82414-3305 Ph: (307) 587-4206 |
Jacob G. Despain Od Pc Optometrist Medicare: Medicare Enrolled Practice Location: 1708 Stampede Ave, Cody, WY 82414 Phone: 307-587-2404 Fax: 307-527-7368 | |
Dr. Jacob G Despain, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1708 Stampede Ave, Cody, WY 82414 Phone: 307-587-2404 Fax: 307-527-7368 | |
Dr. Jonathan Hartley, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 620 19th St, Cody, WY 82414 Phone: 307-587-4206 Fax: 307-587-5539 | |
Dr. James Harvey Bell, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 620 19th St, Cody, WY 82414 Phone: 307-587-4206 Fax: 307-587-5539 | |
Alisa K Stewart, OPTICIAN Optometrist Medicare: Not Enrolled in Medicare Practice Location: 424 Yellowstone Ave, Suite 110, Cody, WY 82414 Phone: 307-587-5788 | |
Mr. Richard D Jones, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1708 Stampede Ave, Cody, WY 82414 Phone: 307-587-2404 Fax: 307-527-7368 | |
Dr. Terence John Cole, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1531 Bleistein, Cody, WY 82414 Phone: 307-587-4206 Fax: 307-587-5539 |