Gillette Optometric Clinic PC
Gillette Optometric Clinic PC is a healthcare organization registered as Corneal and Contact Management Optometrist in Gillette, WY, holding Type 2 (organization) NPI 1891850707 since 2006. The authorized official on file is Roger Jordan, President.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1891850707 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Gillette Optometric Clinic PC |
| Practice address | 609 4J CT, Gillette, WY, 82716 |
| Phone | 3076822020 |
| Fax | 3076825656 |
| Enumeration date | 2006-12-22 |
| Last updated in NPPES | 2010-04-13 |
Authorized official
| Name | Roger Jordan |
|---|---|
| Title | President |
| Phone | 3076822020 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 152W00000X | Optometrist | Secondary | 93-T | WY |
| 152WC0802X | Corneal and Contact Management Optometrist | Secondary | 288-T | WY |
| 152WV0400X | Vision Therapy Optometrist | Secondary | 263-T | WY |
| 152WC0802X | Corneal and Contact Management Optometrist | Primary | 142-T | WY |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 103952100 | Medicaid | WY | — |
| 1659399376 | Other | WY | ROBERT MILLS, OD |
| 1972537561 | Other | WY | ROGER JORDAN, OD |
| 1023035854 | Other | WY | DANA MCDERMOTT, OD |
| 103718800 | Medicaid | WI | — |
| 11504720 | Medicaid | WY | — |
| 11903420 | Medicaid | WY | — |
| 1265466320 | Other | WY | JOSEPH MAYCOCK, OD |
Copy-ready billing details
Provider: Gillette Optometric Clinic PC NPI: 1891850707 Taxonomy: 152WC0802X (Corneal and Contact Management Optometrist) Address: 609 4J CT, Gillette, WY, 82716
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1972537561 | Roger Jordan | Individual | Corneal and Contact Management Optometrist | Gillette, WY |
| 1265466320 | Joseph Maycock | Individual | Corneal and Contact Management Optometrist | Gillette, WY |
| 1659399376 | Robert Mills | Individual | Optometrist | Gillette, WY |
| 1770818858 | Melissa Younger | Individual | Optometrist | Gillette, WY |
| 1710212378 | Ashlee Fischer | Individual | Optometrist | Gillette, WY |
| 1154639201 | Joseph Fischer | Individual | Optometrist | Gillette, WY |
Verify this record
Cross-check NPI 1891850707 against the authoritative CMS record: view Gillette Optometric Clinic PC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
How current is this record?
Where is Gillette Optometric Clinic PC located?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2010-04-13.