| Eye Care Associates Of Wyoming, P.c. | |
|
312 E Lakeway Rd, Gillette, WY 82718-6329 | |
| (307) 686-2010 | |
| (307) 686-1052 |
| Full Name | Eye Care Associates Of Wyoming, P.c. |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 312 E Lakeway Rd, Gillette, Wyoming |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528210515 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 191T (Wyoming) | Primary |
| Provider Name | Daryle L Clark |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1205820081 PECOS PAC ID: 2365503604 Enrollment ID: I20081205000243 |
| Provider Name | Sarah L Koehn |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1215929021 PECOS PAC ID: 5991866238 Enrollment ID: I20081205000259 |
| Mailing Address | Practice Location Address |
|---|---|
| Eye Care Associates Of Wyoming, P.c. 312 E Lakeway Rd, Gillette, WY 82718-6329 Ph: (307) 686-2010 | Eye Care Associates Of Wyoming, P.c. 312 E Lakeway Rd, Gillette, WY 82718-6329 Ph: (307) 686-2010 |
Dr. Joseph Leonard Fischer, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 609 4j Ct, Gillette, WY 82716 Phone: 307-682-2020 Fax: 307-682-5656 | |
Carla Deann Shoults, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 3107 Goldenrod Ave, Gillette, WY 82716 Phone: 307-689-5798 | |
Dr. Daryle L Clark, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 312 E Lakeway Rd, Gillette, WY 82718 Phone: 307-687-7353 Fax: 307-686-1052 | |
Dr. Sarah Lynn Koehn, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 312 E Lakeway Rd, Gillette, WY 82718 Phone: 307-686-8199 Fax: 307-686-1052 | |
Dr. Joseph C Maycock, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 609 4j Ct, Gillette, WY 82716 Phone: 307-682-2020 Fax: 307-682-5656 | |
Michael K. Hughes, O. D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1103 E. Boxelder Rd., Suite F, Gillette, WY 82718 Phone: 307-682-2747 Fax: 307-686-9984 | |
Bruce Gordon Johnson, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2610 South Douglas Highway, Suite 190, Gillette, WY 82718 Phone: 307-682-7861 |