NPI 1154571826 · live from the CMS NPI Registry
Wortham Vision Care,INC.
Optometrist in Lyman, WY. National Provider Identifier 1154571826, active.
NPI record
| NPI | 1154571826 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Optometrist 152W00000X |
| Practice location | 106 S Main, Lyman, WY 82937 |
| Practice phone | 307-787-6123 |
| Mailing address | Po Box 429, Lyman, WY 82937 |
| Enumerated | September 30, 2008 |
| Last updated | June 9, 2009 |
| Authorized official | Billie Wortham, Audiologist/Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Audiologist | 231H00000X | A933 (WY) |
| Optometrist primary | 152W00000X | T197 (WY) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.