CHARLES VANDERVORT, O.D.

Optometrist

Active Individual
NPI: 1629047758

Practice Address

665 UINTA DR
Green River, WY 82935

Phone: (307) 875-4538

Specialties

Specialty Code Primary License
Optometrist 152W00000X Yes 101T (WY)

Frequently Asked Questions

NPI 1629047758 is the National Provider Identifier for CHARLES VANDERVORT, O.D., a Optometrist provider located in Green River, WY. This NPI was enumerated on March 14, 2006.
CHARLES VANDERVORT, O.D. practices at 665 UINTA DR, Green River, WY 82935.

Quick Facts

NPI
1629047758
Type
Individual
Enumerated
Mar 14, 2006
Last Updated
Sep 17, 2012

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