Provider Demographics
NPI:1457565921
Name:EYE CARE OF THE BIG HORNS LLC
Entity Type:Organization
Organization Name:EYE CARE OF THE BIG HORNS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:BRANDI
Authorized Official - Middle Name:
Authorized Official - Last Name:BILYEU
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:307-674-0444
Mailing Address - Street 1:1033 COFFEEN AVE.
Mailing Address - Street 2:
Mailing Address - City:SHERIDAN
Mailing Address - State:WY
Mailing Address - Zip Code:82801-5321
Mailing Address - Country:US
Mailing Address - Phone:307-674-0444
Mailing Address - Fax:307-673-0860
Practice Address - Street 1:1033 COFFEEN AVE.
Practice Address - Street 2:
Practice Address - City:SHERIDAN
Practice Address - State:WY
Practice Address - Zip Code:82801-5321
Practice Address - Country:US
Practice Address - Phone:307-674-0444
Practice Address - Fax:307-673-0860
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-10
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WY265T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty