NPI 1467734202

Wyoming Retina Associates, PC

Organisation Ophthalmology Physician Casper, WY

Practice location

Address: 307 S Jackson St, Casper, WY 82601-2908
Phone: (307) 237-3937
Fax: (307) 237-0670

Authorised official

Name: Douglas Lyle Holmes
Title: President
Phone: (307) 237-3937

Registered specialties

Ophthalmology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207W00000X Licence TL1625 (WY)

Other Ophthalmology providers in Wyoming →

Registry record

NPI: 1467734202
Entity type: Organization
NPI issued: 19 Sep 2011
Record last updated: 19 Sep 2011

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.