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GILLETTE OPTOMETRIC CLINIC PC
NPI 1891850707
Optometrist - Corneal and Contact Management in Gillette, WY

Active since December 22, 2006
609 4J CT, GILLETTE, WY 82716(307) 682-2020(307) 682-5656 Get Directions Write a Review

NPPES record last updated: April 13, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Gillette Optometric Clinic Pc NPPES

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

GILLETTE OPTOMETRIC CLINIC PC (NPI 1891850707) is a healthcare organization registered as a corneal and contact management in Gillette, Wyoming and active in the NPI registry since December 2006. The organization lists Roger L Jordan, President, as its authorized official.

NPPES Registry Identity

NPI1891850707
Entity TypeOrganization
Primary Taxonomy152WC0802X
Legal Business NameGILLETTE OPTOMETRIC CLINIC PC
Location Address609 4J CTGillette, WY 82716-4135
Mailing Address609 4j CtGillette, WY 82716-4135 · (307) 682-2020 · Fax (307) 682-5656
Phone(307) 682-2020
Fax(307) 682-5656
Organization SubpartNo
Authorized OfficialRoger L JordanPresident · (307) 682-2020
Enumeration DateDecember 22, 2006
Last NPPES UpdateApril 13, 2010
✔ NPI 1891850707 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyOptometrist · Corneal and Contact ManagementEye and Vision Services Providers
Taxonomy Code152WC0802X
Licenses✔ Licensed in WY · 142-T✔ Licensed in WY · 288-T
Definition
The professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea's ability to sustain successful contact lens wear, and treatment of any external eye or corneal condition which can affect contact lens wear.
Also ListedOptometristTaxonomy 152W00000X · License 93-T (WY)
Also ListedOptometrist · Vision TherapyTaxonomy 152WV0400X · License 263-T (WY)
609 4J CT, Gillette, WY 82716
Open in Google Maps ↗

Other Identifiers 17

Medicare UPINU11330WY
Medicaid103952100WY
Other1265466320WY · Joseph Maycock, Od
Medicaid103718800WI
Medicaid11504720WY
Medicare NSC5573070001WY
Medicare ID-Type UnspecifiedW9902WY · Joseph Maycock, Od
Medicare ID-Type UnspecifiedW301430WY · Robert Mills, Od
Other1023035854WY · Dana Mcdermott, Od
Medicare UPINU98131WY
Medicare ID-Type UnspecifiedW310289WY · Dana Mcdermott, Od
Medicaid11903420WY
Other1972537561WY · Roger Jordan, Od
Other1659399376WY · Robert Mills, Od
Medicare UPINU80357WY
Medicare UPINU10226WY
Medicare ID-Type UnspecifiedW305124WY · Roger Jordan, Od

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 MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Wyoming, BlueCross BlueShield of Tennessee.Insurance ›

Medical Equipment Supplier Medicare DMEPOS 2

Medicare supplier enrollment and the product categories Gillette Optometric Clinic PC carries, from the Medicare DMEPOS supplier directory.

Gillette Optometric Clinic PC

DMEPOS supplier · Gillette, WY
✔

Accepts Medicare assignment

Gillette Optometric Clinic PC 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)20574875
Medicare Participant SinceJanuary 27, 2006
Supplier Location609 Four-J CtGillette, WY 82716
Phone(307) 682-2020
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 6

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

DR. JOSEPH LEONARD FISCHER O.D.
Optometrist
609 4J CT
GILLETTE, WY 82716
Campbell County (307) 682-2020
DR. JOSEPH C MAYCOCK O.D.
Optometrist (Corneal and Contact Management)
609 4J CT
GILLETTE, WY 82716
Campbell County (307) 682-2020
DR. ROBERT L MILLS O.D.
Optometrist
609 4J CT
GILLETTE, WY 82716
Campbell County (307) 682-2020
ASHLEE E FISCHER O.D.
Optometrist
609 4J CT
GILLETTE, WY 82716
Campbell County (307) 682-2020
MELISSA MARIE SERREYN YOUNGER
Optometrist
609 4J CT
GILLETTE, WY 82716
Campbell County (307) 682-2020
DR. ROGER L JORDAN O.D.
Optometrist (Corneal and Contact Management)
609 4J CT
GILLETTE, WY 82716
Campbell County (307) 682-2020

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 Gillette Optometric Clinic PC's NPI number?

The NPI number for Gillette Optometric Clinic PC is 1891850707. It was assigned to this organization in the NPPES registry on December 22, 2006.

Where is Gillette Optometric Clinic PC located?

Gillette Optometric Clinic PC is located at 609 4J Ct, Gillette, WY 82716. The listed phone number is (307) 682-2020.

What is Gillette Optometric Clinic PC's specialty?

The primary specialty registered for this NPI is Optometrist, specializing in Corneal and Contact Management, with taxonomy code 152WC0802X.

Does Gillette Optometric Clinic PC accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Gillette Optometric Clinic PC accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

What insurance does Gillette Optometric Clinic PC accept?

Health plans from Blue Cross Blue Shield of Wyoming and BlueCross BlueShield of Tennessee list Gillette Optometric Clinic PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Gillette Optometric Clinic PC was last updated on April 13, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.