Individual provider · Type 1 NPI

Charles R. Vandervort, OD

Optometrist · Green River, WY

NPI number 1629047758 Active

Practice location

665 Uinta Dr
Green River, WY 82935-5031

Fax (307) 875-8997

Specialties and licenses

TaxonomyCodeLicense
Optometrist Primary 152W00000X101T (WY)

Optometrist: 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 e…

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About NPI 1629047758

Charles R. Vandervort, OD's National Provider Identifier is 1629047758, issued on Mar 14, 2006. The primary taxonomy on file is Optometrist (152W00000X), and the practice location is in Green River, WY. The record was last updated on Sep 17, 2012.