| Lander Vision Source Pc | |
|
556 Main St, Lander, WY 82520-3032 | |
| (307) 332-2020 | |
| (307) 332-5718 |
| Full Name | Lander Vision Source Pc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 556 Main St, Lander, Wyoming |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902587751 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Primary |
| Provider Name | Kortny C Lancaster |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1699401182 PECOS PAC ID: 9931583358 Enrollment ID: I20221102002898 |
| Mailing Address | Practice Location Address |
|---|---|
| Lander Vision Source Pc 556 Main St, Lander, WY 82520-3032 Ph: (307) 332-2020 | Lander Vision Source Pc 556 Main St, Lander, WY 82520-3032 Ph: (307) 332-2020 |
Dr. John W Cary, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 278 Main St, Lander, WY 82520 Phone: 307-332-7284 Fax: 307-332-7285 | |
Lander Vision Center, Pc Optometrist Medicare: Medicare Enrolled Practice Location: 556 Main St, Lander, WY 82520 Phone: 307-332-2020 Fax: 307-332-5718 | |
Dr. Jennifer Rae Rodgers, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 278 Main St, Lander, WY 82520 Phone: 307-332-7284 Fax: 307-332-7285 | |
Kortny Clayton Lancaster, OD Optometrist Medicare: Medicare Enrolled Practice Location: 556 Main St, Lander, WY 82520 Phone: 307-332-2020 | |
Dr. David Wayne Rodgers, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 278 Main St, Lander, WY 82520 Phone: 307-332-7284 Fax: 307-332-7285 | |
Mikel Robert Weideman, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 556 Main St, Lander, WY 82520 Phone: 307-332-2020 |