| NPI | 1558615179 |
|---|---|
| Doing Business As | LARAMIE VISION CLINIC |
| Entity Type | Organization |
| Authorized Contact | MARTIN CARROLL Owner 307-638-6610 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Enumeration Date | 2012-11-05 |
| Last Update Date | 2012-11-05 |