| NPI | 1487716668 |
|---|---|
| Doing Business As | EASTERN WYOMING EYE CLINIC |
| Entity Type | Organization |
| Authorized Contact | JOHN T MAHONEY President 307-532-2060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: WY 123T) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: WY 193T) |
| 152W00000X Optometrist (Licence: WY 316T) | |
| 152W00000X Optometrist (Licence: WY 174T) | |
| Enumeration Date | 2006-12-14 |
| Last Update Date | 2023-12-29 |