NPI 1043554686

Mud Springs Vision Clinic, INC.

Organisation Optometrist Wheatland, WY

Practice location

Address: 404 9th St, Wheatland, WY 82201-2910
Phone: (307) 322-9747
Fax: (307) 322-9776

Authorised official

Name: Jaime a Hazen
Title: Owner
Phone: (307) 322-9747

Registered specialties

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence 340T (WY)

Other Optometrist providers in Wyoming →

Registry record

NPI: 1043554686
Entity type: Organization
NPI issued: 20 Nov 2012
Record last updated: 20 Nov 2012

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.