Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CHARLES R. VANDERVORT, O.D.
Active Sole ProprietorCHARLES R. VANDERVORT, O.D. is a Optometrist healthcare provider located in GREEN RIVER, Wyoming. NPI 1629047758 is currently active in the NPPES registry. Verify at CMS.
Optometrist · GREEN RIVER, WY
Registration Details
- NPI Number
- 1629047758
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 14, 2006 (20.409222347114 yrs)
- Last Updated
- Sep 17, 2012
- License
-
101T (WY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
665 UINTA DRGREEN RIVER, WY, 829355031Browse WY providers · Browse ZIP 82935
- Phone
- 3078754538
- Fax
- 3078758997
- Primary Specialty
-
Optometrist
152W00000X
Other Optometrist Providers in GREEN RIVER, WY
| Name | Credential | NPI |
|---|---|---|
| SCOTT WESLEY ROBERTSON | OD | 1942048905 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.