Provider Demographics
NPI:1144270091
Name:ARRANTS, ALISON ANN (OD)
Entity type:Individual
Prefix:DR
First Name:ALISON
Middle Name:ANN
Last Name:ARRANTS
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2820 FOOTHILL BLVD
Mailing Address - Street 2:
Mailing Address - City:ROCK SPRINGS
Mailing Address - State:WY
Mailing Address - Zip Code:82901-4836
Mailing Address - Country:US
Mailing Address - Phone:307-382-4444
Mailing Address - Fax:307-382-7204
Practice Address - Street 1:2820 FOOTHILL BLVD
Practice Address - Street 2:
Practice Address - City:ROCK SPRINGS
Practice Address - State:WY
Practice Address - Zip Code:82901-4836
Practice Address - Country:US
Practice Address - Phone:307-382-4444
Practice Address - Fax:307-382-7204
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-11
Last Update Date:2015-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WY284-T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WY118995600Medicaid
WY312337OtherBLUE CROSS BLUE SHIELD
WY118995600Medicaid
WY9841Medicare ID - Type Unspecified