Provider Demographics
NPI:1306874078
Name:CARY, JOHN W (OD)
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:W
Last Name:CARY
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
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Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:526 AMORETTI ST
Mailing Address - Street 2:
Mailing Address - City:LANDER
Mailing Address - State:WY
Mailing Address - Zip Code:82520-2720
Mailing Address - Country:US
Mailing Address - Phone:210-870-0440
Mailing Address - Fax:
Practice Address - Street 1:278 MAIN ST
Practice Address - Street 2:
Practice Address - City:LANDER
Practice Address - State:WY
Practice Address - Zip Code:82520-3128
Practice Address - Country:US
Practice Address - Phone:307-332-7284
Practice Address - Fax:307-332-7285
Is Sole Proprietor?:No
Enumeration Date:2006-06-29
Last Update Date:2025-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO2508152W00000X
WY463T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist