Charles R. Vandervort in Green River - Optometrist
Charles R. Vandervort - NPI 1629047758
Charles R. Vandervort is a Optometrist in Green River, . Charles R. Vandervort practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Charles R. Vandervort is 1629047758. The last update date is 2012-09-17.
Charles R. Vandervort's current location address is 665 Uinta Dr, Green River, . You can contact this provider via phone number 3078754538 and fax number 3078758997. The mailing address for Charles R. Vandervort is 665 Uinta Dr, Green River, . To know further, please read the information below!
Provider Profile Detail
| Provider Name | Charles R. Vandervort |
|---|---|
| Address | 665 Uinta Dr, Green River, |
| Phone Number | 3078754538 |
| Fax Number | 3078758997 |
| Sole Proprietor | Y |
| Credentials | O.D. |
NPI Number Detail
| NPI Number | 1629047758 |
|---|---|
| Provider Enumeration Date | 2006-03-14 |
| Last Updated Date | 2012-09-17 |
Provider Mailing Address Detail
| Address | 665 Uinta Dr |
|---|---|
| City | Green River |
| State | (WY) |
| Post Code | 829355031 |
| Phone Number | 3078754538 |
| Fax Number | 3078758997 |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
| Licence No | 101T |
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Definition: 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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 114697100 | WY | -- | |
| 1798001 | WY | BLUE CROSS BLUE SHIELD | |
| 410040553 | WY | RAILROAD MEDICARE |
Post Comment/ Review Below
What is the unique identifier code issued to Charles R. Vandervort by the Centers for Medicare & Medicaid Services?
The Charles R. Vandervort has been assigned the NPI (National Provider Identifier) 1629047758. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Charles R. Vandervort's facilities are situated?
The facilities of Charles R. Vandervort are physically located at the following address: 665 Uinta Dr, Green River, WY, 829355031.
What is Charles R. Vandervort's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Charles R. Vandervort is Optometrist, and the taxonomy code that classifies this field of practice is 152W00000X.
When did Charles R. Vandervort receive its 1629047758 assignment?
The Charles R. Vandervort was assigned its 1629047758 on 2006-03-14, which is the date when this unique identifier was issued to the organization.
As of what date were the Charles R. Vandervort's details last updated?
The information pertaining to the Charles R. Vandervort, including its address, specialty, and other details, was most recently updated on 2012-09-17.