LOWER VALLEY VISION CLINIC INC (NPI# 1336212158) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336212158 |
| Entity Type | Organization |
| Organization Name | LOWER VALLEY VISION CLINIC INC |
| Practice Address |
491 N Main St Suite A Thayne WY 83127-9768 |
| Mailing Address |
Po Box 800 Thayne WY 83127-0800 |
| Practice Telephone | 3078834678 |
| Mailing Telephone | 3078834678 |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2013-03-25 |
| Authorized Official Name | DR. LUKE BROG (PRESIDENT) |
| Authorized Official Telephone | 3078834678 |
| Authorized Official Credential | O.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332H00000X | Eyewear Supplier (Equipment, not the service) | 296T | WY | Suppliers |
| Y | 152W00000X | Optometrist | 296T | WY | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WY | ALTIUS HEALTH PLANS | 285174 | 01 |
| WY | 121600700 | 05 | |
| WY | CBSA | 5646844 | 01 |
| WY | BLUE CROSS BLUE SHIELD | 313773 | 01 |
| Street Address |
491 N MAIN ST SUITE A |
| City | THAYNE |
| State | WY |
| Zip Code | 83127-9768 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063012383 | Susan M. Miner | Nurse Practitioner | 487 N. Main St. #2, Thayne, WY 83127 | 2020-10-27 |
| 1679118160 | Stephan Badgett | Social Worker | 383 N Main St, Thayne, WY 83127 | 2019-11-08 |
| 1629402078 | Kyle C Lancaster | Pharmacist | 118 Peterson Pkwy, Thayne, WY 83127 | 2013-08-21 |
| 1225478894 | Our Valley Pharmacy | Durable Medical Equipment & Medical Supplies | 118 Petersen Pkwy, Thayne, WY 83127 | 2013-06-27 |
| 1073892816 | Jennifer Suzanne Knowlton | Counselor | 383 N Main St, 2nd Floor, Thayne, WY 83127 | 2011-08-10 |
| 1619117348 | Access Hospice Care LLC | Home Health | 102293 Hwy 89, Thayne, WY 83127 | 2009-02-20 |
| 1801034475 | Access Home Care LLC | Home Health | 102293 Hyw 89 S, Thayne, WY 83127 | 2009-02-04 |
| 1528206661 | Scott M. Sessions | Chiropractor | 383 N Main Street, Suite 1, Thayne, WY 83127 | 2009-01-28 |
| 1518121748 | Sandra Marcoccia Sears | Social Worker | 624 Alpine Way, Star Valley Ranch, WY 83127 | 2008-07-16 |
| 1093984510 | Alliance Hospice of Star Valley | Hospice Care, Community Based | 63 Bridger Dr, Thayne, WY 83127 | 2008-02-28 |
| Find all providers in zip 83127 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831262641 | Luke Dewey Brog | Optometrist | 122 Petersen Parkway, Suite 1, Thayne, WY 83127 | 2006-11-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043830722 | Mountain West Eye Care P.C. | Optometrist | 618 Coburn Ave Ste 12, Worland, WY 82401-3314 | 2020-04-22 |
| 1003357153 | Katrae Mj LLC | Optometrist | 1526 Centennial Ct, Casper, WY 82609-7304 | 2017-03-09 |
| 1922547736 | High Plains Vision Center, LLC | Optometrist | 2101 Plaza St, Rawlins, WY 82301-6007 | 2017-02-14 |
| 1790235133 | Wyovision Associates of Gillette LLC | Optometrist | 530 Running W Dr Ste 110, Gillette, WY 82718-2074 | 2016-10-10 |
| 1851742738 | Ashley Ann Alden | Optometrist | 5880 E 2nd St, Ste 100, Casper, WY 82609-4389 | 2016-06-22 |
| 1679938005 | Sheridan Optical II, LLC | Optometrist | 25 E Grinnell Plaza, Sheridan, WY 82801 | 2015-12-30 |
| 1811249154 | Jenning Voss | Optometrist | 50e 4th Ave, Afton, WY 83110 | 2012-10-10 |
| 1124388525 | Jacob Hannon | Optometrist | 2814 Kent Ave, Cody, WY 82414-8250 | 2012-05-21 |
| 1902180235 | Travis John Shelton | Optometrist | 106 S.main St., Lyman, WY 82937-0429 | 2011-10-05 |
| 1558675702 | The Eye Institute PC | Optometrist | 2631 Foothill Blvd Ste A, Rock Springs, WY 82901-4770 | 2010-07-29 |
| Find all providers with the same taxonomy | ||||
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| 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.