NORTHERN WYOMING OPHTHALMOLOGY, P.C. (NPI# 1124220645) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124220645 |
| Entity Type | Organization |
| Organization Name | NORTHERN WYOMING OPHTHALMOLOGY, P.C. |
| Other Organization Name | NEW IMAGE EYEWEAR |
| Practice Address |
424 Yellowstone Ave Suite 110 Cody WY 82414-3423 |
| Practice Telephone | 3075875788 |
| Practice Fax Number | 3075874896 |
| Mailing Telephone | 3075875788 |
| Mailing Fax Number | 3075874896 |
| Enumeration Date | 2007-06-05 |
| Last Update Date | 2012-03-21 |
| Authorized Official Name | DR. BARRY P. WELCH (OWNER) |
| Authorized Official Telephone | 3075875788 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | Y |
| Parent Organization Name | NORTHERN WYOMING OPHTAHLMOLOGY, PC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 156FX1800X |
Technician/Technologist Specialization: Optician |
Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WY | 113960600 | 05 |
| Other Name | Type Code |
|---|---|
| New Image Eyewear | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215928429 | Northern Wyoming Ophthalmology, P.C. | Ophthalmology | 424 Yellowstone Ave, Suite 110, Cody, WY 82414-9318 | 2005-11-04 |
| Street Address |
424 YELLOWSTONE AVE SUITE 110 |
| City | CODY |
| State | WY |
| Zip Code | 82414-3423 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437157484 | Barry Peterson Welch | Ophthalmology | 424 Yellowstone Ave, Suite 110, Cody, WY 82414-9318 | 2005-07-13 |
| 1477192243 | West Park Hospital District | Clinic/Center | 424 Yellowstone Ave, Cody, WY 82414-9309 | 2019-12-27 |
| 1093185191 | Stephen Rogers | Physician Assistant | 424 Yellowstone Ave, Suite 140, Cody, WY 82414-9309 | 2015-10-01 |
| 1487054631 | Amy Ruskowsky | Technician/Technologist | 424 Yellowstone Ave, Suite 110, Cody, WY 82414-9309 | 2014-08-25 |
| 1669818969 | Big Horn Basin Regional Dialysis Center LLC | Clinic/Center | 424 Yellowstone Ave, Suite 150, Cody, WY 82414-9309 | 2013-05-14 |
| 1518239391 | Courtney Spence | Internal Medicine | 424 Yellowstone Ave, Suite 230, Cody, WY 82414-9309 | 2012-02-08 |
| 1003050253 | Big Horn Foot Clinic, PC | Podiatrist | 424 Yellowstone Ave, Suite 140, Cody, WY 82414-9318 | 2009-04-30 |
| 1467617266 | Alisa K Stewart | Optometrist | 424 Yellowstone Ave, Suite 110, Cody, WY 82414-9318 | 2008-07-22 |
| 1811022429 | Nancy Winkler | Nurse Practitioner | 424 Yellowstone Ave, Suite 230, Cody, WY 82414-9309 | 2007-02-22 |
| 1477527299 | Lisa Ellen Harvey | Family Medicine | 424 Yellowstone Ave, Ste 120, Cody, WY 82414 | 2006-02-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073969374 | Melody Griebel | Counselor | 3026 Hardpan Ave., Unit A, Cody, WY 82414 | 2016-05-05 |
| 1073856431 | Christopher David Rice | Orthopaedic Surgery | 720 Lindsay Ln Ste C, Cody, WY 82414 | 2013-04-03 |
| 1629322037 | William H. and Carrie Gottsche Foundation | Point of Service | 790 Lindsay Ln, Cody, WY 82414 | 2012-11-07 |
| 1831445162 | Ryan T Vincent | Physical Therapist | 1526 Rumsey Ave, Cody, WY 82414 | 2012-07-24 |
| 1952699043 | Angela Mae Marchant | Physical Therapist | 1819 Sheridan Ave., Cody, WY 82414 | 2011-07-11 |
| 1245556943 | Lori Grubbs Swanton | Physical Therapist | 1130 Sheridan Ave Ste 210, Cody, WY 82414 | 2010-04-20 |
| 1629304589 | Big Horn Basin Childrens Clinic PC | Pediatrics | 1220 Sunshine Ave Suite 101, Cody, WY 82414 | 2009-10-28 |
| 1851539043 | Laurie Dee Hipwell | Registered Nurse | 424 Yellowstone Ave Ste 320, Cody, WY 82414 | 2009-01-27 |
| 1790933356 | Cynthia Shook Ruth | Physical Therapist | 1302 Beck Ave. Suite E, Children's Resource Center, Cody, WY 82414 | 2008-09-08 |
| 1386818185 | Nancy Joy Simpson | Registered Nurse | 73 Green Creek, Cody, WY 82414 | 2008-04-14 |
| Find all providers in zip 82414 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487054631 | Amy Ruskowsky | Technician/Technologist | 424 Yellowstone Ave, Suite 110, Cody, WY 82414-9309 | 2014-08-25 |
| 1558563064 | Bruce Cram | Technician/Technologist | 721 Sheridan Ave, Suite 280, Cody, WY 82414-3423 | 2007-06-05 |
| 1831279355 | Wal-mart Stores, Inc. | Technician/Technologist | 321 Yellowstone Ave, Cody, WY 82414-9315 | 2006-10-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508200379 | Sams West, Inc. | Technician/Technologist | 4600 E 2nd St, Casper, WY 82609-4224 | 2013-04-24 |
| 1033302856 | Your Family Optical | Technician/Technologist | 4214 Cheyenne St, Cheyenne, WY 82001-1923 | 2007-08-24 |
| 1437379161 | Wyoming Optical Inc | Technician/Technologist | 485 E 2nd St, Casper, WY 82601-2507 | 2007-04-26 |
| 1487786836 | Wal Mart Stores, Inc. Dba Wal-mart | Technician/Technologist | 4255 Cy Avenue, Casper (w), WY 82604 | 2007-03-12 |
| 1326137399 | Sam's Club Optical | Technician/Technologist | 1948 Dell Range Blvd, Cheyenne, WY 82009-4917 | 2006-10-11 |
| 1255718953 | Wal-mart Srores Inc | Technician/Technologist | 580 Livingston Ave, Cheyenne, WY 82007 | 2015-05-01 |
| 1891829966 | Wal-mart Stores, Inc. | Technician/Technologist | 2300 S Douglas Hwy, Gillette, WY 82718-5420 | 2007-03-14 |
| 1164577029 | Michael S Pillen | Technician/Technologist | 2610 S Douglas Hwy, Ste 190, Gillette, WY 82718-6468 | 2007-01-23 |
| 1629153234 | Wal-mart Stores, Inc. | Technician/Technologist | 1695 Coffeen Ave, Sheridan, WY 82801-5707 | 2006-10-25 |
| 1326128943 | Wal-mart Stores, Inc. | Technician/Technologist | 2032 Dell Range Blvd, Cheyenne, WY 82009-4956 | 2006-10-17 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on NORTHERN WYOMING OPHTHALMOLOGY, P.C..
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.