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BASIN VISION CENTER, P. C.
NPI 1689707820
Optometrist in Cody, WY

Active since March 14, 2007CLIA 53D1084616 · Waiver
620 19TH ST, CODY, WY 82414(307) 587-4206(307) 587-5539 Get Directions Write a Review

NPPES record last updated: December 18, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Basin Vision Center, P. C. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BASIN VISION CENTER, P. C. (NPI 1689707820) is a healthcare organization registered as an optometrist in Cody, Wyoming and active in the NPI registry since March 2007. The organization holds a CLIA Waiver certificate valid through May 28, 2028 and lists Jonathan M Hartley, Ceo And President, as its authorized official.

NPPES Registry Identity

NPI1689707820
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameBASIN VISION CENTER, P. C.
Location Address620 19TH STCody, WY 82414-3305
Mailing AddressPo Box 2810Cody, WY 82414-2810 · (307) 587-4206 · Fax (307) 587-5539
Phone(307) 587-4206
Fax(307) 587-5539
Organization SubpartNo
Authorized OfficialJonathan M HartleyCeo And President · (307) 587-4206
Enumeration DateMarch 14, 2007
Last NPPES UpdateDecember 18, 2020
NPPES CertifiedDecember 10, 2020
✔ NPI 1689707820 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
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 systemic conditions affecting the eye. An optometrist has 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. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
620 19TH ST, Cody, WY 82414
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 53D1084616

Basin Vision · Cody, WY
Active · expires May 28, 2028
CLIA Number53D1084616
Laboratory TypeMobile Laboratory
Certificate Effective DateMay 29, 2026
Certificate Expiration DateMay 28, 2028
Laboratory DirectorJames H. Bell, Od
Laboratory Phone(307) 587-4206
Laboratory LocationBasin Vision1531 Bleistein Avenue, Cody, WY 82414
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Medical Equipment Supplier Medicare DMEPOS 2

Medicare supplier enrollment and the product categories Basin Vision Center carries, from the Medicare DMEPOS supplier directory.

Basin Vision Center

DMEPOS supplier · Cody, WYOperated by Basin Vision Center, P. C.
✔

Accepts Medicare assignment

Basin Vision Center agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20606453
Medicare Participant SinceFebruary 7, 2002
Supplier Location620 19th StCody, WY 82414
Phone(307) 587-4206
Supplier Specialties
Optometrist

Medicare Product Categories

Prosthetic Lenses: Conventional Eyeglasses
Conventional Eyeglasses
Prosthetic Lenses: Conventional Contact Lenses
Conventional Contact Lenses
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JONATHAN HARTLEY O.D.
Optometrist
620 19TH ST
CODY, WY 82414
Park County (307) 587-4206
DR. JAMES HARVEY BELL O.D.
Optometrist
620 19TH ST
CODY, WY 82414
Park County (307) 587-4206
KRISTANZA MARIE BRONNENBERG OD
Optometrist
620 19TH ST
CODY, WY 82414
Park County (307) 587-4206

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Basin Vision Center, P. C.'s NPI number?

The NPI number for Basin Vision Center, P. C. is 1689707820. It was assigned to this organization in the NPPES registry on March 14, 2007.

Where is Basin Vision Center, P. C. located?

Basin Vision Center, P. C. is located at 620 19th St, Cody, WY 82414. The listed phone number is (307) 587-4206.

What is Basin Vision Center, P. C.'s specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Does Basin Vision Center, P. C. accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Basin Vision Center accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

Does Basin Vision Center, P. C. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 53D1084616) is associated with this NPI, valid through May 28, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Basin Vision Center, P. C. was last updated on December 18, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.