Katrae MJ LLC

Optometrist · Casper, WY

Organization Active NPI

NPI number 1003357153

Practice location

1526 Centennial Ct
Casper, WY 82609-7304
Phone
(307) 237-6025
Fax
(307) 337-3462

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NPI record

NPI
1003357153
Entity type
Organization (Type 2)
Enumeration date
March 9, 2017
Last updated
March 9, 2017
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Optometrist Primary 152W00000X 299T WY

Authorized official

Name
Dr. Levi M Porter, O.D.
Title
Optometrist
Phone
(503) 504-6941

Other names

  • Wind City Eye Care

About Katrae MJ LLC

Katrae MJ LLC is a healthcare organization registered in the NPI registry with the primary taxonomy Optometrist (code 152W00000X). The practice location is 1526 Centennial Ct, Casper, WY 82609-7304. The NPI number 1003357153 was assigned on March 9, 2017 and the record was last updated on March 9, 2017.

Katrae MJ LLC lists a license in the registry: #299T (WY) for Optometrist. License numbers are self-reported to NPPES; verify them with the state licensing board.

The authorized official for this organization is Dr. Levi M Porter, O.D., Optometrist.

Frequently asked questions

What is the NPI number of Katrae MJ LLC?

The NPI number is 1003357153.

What is the phone number of Katrae MJ LLC?

The phone number listed for the practice location is (307) 237-6025.

Where is Katrae MJ LLC located?

1526 Centennial Ct, Casper, WY 82609-7304.

What is the taxonomy code for Katrae MJ LLC?

The primary taxonomy code is 152W00000X – Optometrist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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