| Mikel Robert Weideman, OD | |
|
556 Main St, Lander, WY 82520-3032 | |
| (307) 332-2020 | |
| Not Available |
| Full Name | Mikel Robert Weideman |
|---|---|
| Gender | Male |
| Speciality | Optometrist |
| Location | 556 Main St, Lander, Wyoming |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952464604 | NPI | - | NPPES |
| 301173 | Other | BCBS | |
| 106723100 | Medicaid | WY | |
| 830260533 | Other | VISION SERVICE PLAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 134T (Wyoming) | Primary |
| Provider Name | Lander Vision Center Pc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1477680791 PECOS PAC ID: 2365584489 Enrollment ID: O20100127000430 |
| Mailing Address | Practice Location Address |
|---|---|
| Mikel Robert Weideman, OD 556 Main St, Lander, WY 82520-3032 Ph: (307) 332-2020 | Mikel Robert Weideman, OD 556 Main St, Lander, WY 82520-3032 Ph: (307) 332-2020 |
Dr. John W Cary, O.D. Optometrist Medicare: Accepting Medicare Assignments 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: Accepting Medicare Assignments Practice Location: 556 Main St, Lander, WY 82520 Phone: 307-332-2020 | |
Lander Vision Source Pc Optometrist Medicare: Medicare Enrolled Practice Location: 556 Main St, Lander, WY 82520 Phone: 307-332-2020 Fax: 307-332-5718 | |
Dr. David Wayne Rodgers, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 278 Main St, Lander, WY 82520 Phone: 307-332-7284 Fax: 307-332-7285 |