GILLETTE OPTOMETRIC CLINIC PC – Corneal and Contact Management Optometrist, NPI 1891850707

GILLETTE OPTOMETRIC CLINIC PC is a healthcare provider. based in Gillette, Wyoming. specializing in Corneal and Contact Management Optometrist. The organization holds a License No. 93-T (WY). The NPI Number for GILLETTE OPTOMETRIC CLINIC PC is 1891850707

Main info

Organization
Name
GILLETTE OPTOMETRIC CLINIC PC
NPI
1891850707
Phone
(307) 682-2020
Address
609 4J CT
Authorized Official
DR. ROGER L JORDAN PRESIDENT O.D.
Enumeration Date
22 December 2006
Last Update Date
13 April 2010
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience74
Completeness75
Years active:19State licenses:4Digital endpointsOther names

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Provider Addresses for GILLETTE OPTOMETRIC CLINIC PC

  • Peterson Court Subdivision, Gillette, Campbell County, Wyoming, United States

    GILLETTE, WY 827164135

    Phone: (307) 682-2020

    Fax: (307) 682-5656

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-09-30

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2024-02-29 (832 days ago).

Enrollment records

2

Earliest due date

2024-02-29

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20060206000611OClinic/Group PracticeWYTBD
O20100930017208OPhysician - OptometristWY2024-02-29

What to do next

  • Verify current status on the CMS Revalidation Lookup Tool immediately.
  • Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
  • Overdue revalidation can lead to deactivation of Medicare billing privileges.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 82716)

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Reviews

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Frequently asked questions

How do I look up GILLETTE OPTOMETRIC CLINIC PC by NPI?
Use NPI 1891850707 when you need to reference GILLETTE OPTOMETRIC CLINIC PC in forms, claims, or directories.
Is GILLETTE OPTOMETRIC CLINIC PC's NPI currently valid?
The extract we use shows GILLETTE OPTOMETRIC CLINIC PC as active.
Does GILLETTE OPTOMETRIC CLINIC PC list a primary specialty?
If you are matching referrals, note Corneal and Contact Management Optometrist for GILLETTE OPTOMETRIC CLINIC PC. Clinical services aligned with this taxonomy classification.
Where does public data place GILLETTE OPTOMETRIC CLINIC PC?
The snapshot lists Gillette, Wyoming for GILLETTE OPTOMETRIC CLINIC PC; download NPPES for the complete set.
How can I contact GILLETTE OPTOMETRIC CLINIC PC?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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