NPI 1003357153

Katrae Mj LLC

Organisation Optometrist Casper, WY

Practice location

Address: 1526 Centennial CT, Casper, WY 82609-7304
Phone: (307) 237-6025
Fax: (307) 337-3462

Authorised official

Name: Levi M Porter
Title: Optometrist
Phone: (503) 504-6941

Registered specialties

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence 299T (WY)

Other Optometrist providers in Wyoming →

Registry record

NPI: 1003357153
Entity type: Organization
NPI issued: 9 Mar 2017
Record last updated: 9 Mar 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.