| Mud Springs Vision Clinic, Inc. | |
|
404 9th St, Wheatland, WY 82201-2910 | |
| (307) 322-9747 | |
| (307) 322-9776 |
| Full Name | Mud Springs Vision Clinic, Inc. |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 404 9th St, Wheatland, Wyoming |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043554686 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 340T (Wyoming) | Primary |
| Provider Name | Jaime A Hazen |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1164770988 PECOS PAC ID: 4688824626 Enrollment ID: I20121108000516 |
| Mailing Address | Practice Location Address |
|---|---|
| Mud Springs Vision Clinic, Inc. 404 9th St, Wheatland, WY 82201-2910 Ph: (307) 322-9747 | Mud Springs Vision Clinic, Inc. 404 9th St, Wheatland, WY 82201-2910 Ph: (307) 322-9747 |
Dr. Jaime Hazen, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 404 9th St, Wheatland, WY 82201 Phone: 307-322-9747 | |
Splitrock Vision Clinic P C Inc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 404 9th St, Wheatland, WY 82201 Phone: 307-322-9747 Fax: 307-322-9776 | |
Halsey, P.c. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 404 9th St, Wheatland, WY 82201 Phone: 307-322-9747 Fax: 307-322-7996 | |
David J Halsey, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 404 9th St, Wheatland, WY 82201 Phone: 307-322-9747 Fax: 307-322-9776 |