Charles R. Vandervort is a Green River, Wyoming based male Optometrist who is specialized in Optometry. Active license number of Charles R. Vandervort is 101T for Optometry in Wyoming. Charles R. Vandervort 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. He 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. He is a eye health care professional who is state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
Complete Profile:
Charles R. Vandervort speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Optometry
Credentials:
O.D.
Gender:
Male
Practice Address:
665 Uinta Dr, Green River, Wyoming, 82935-5031
Phone:
307-875-4538
Fax:
307-875-8997
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1629047758
NPI Enumeration Date:
14 Mar, 2006
NPI Last Update On:
17 Sep, 2012
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Charles R. Vandervort are as mentioned below.
License Number
Specialization
State
Status
101T
Optometry
Wyoming
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Charles R. Vandervort such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
114697100
Medicaid
Wyoming
001798001
Other
Wyoming
BLUE CROSS BLUE SHIELD
410040553
Other
Wyoming
RAILROAD MEDICARE
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
665 Uinta Dr, Green River, Wyoming
Zip:
82935-5031
Phone Number:
307-875-4538
Fax Number:
307-875-8997
Patients can reach Charles R. Vandervort at 665 Uinta Dr, Green River, Wyoming or can call to book an appointment on 307-875-4538. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.