MEDICARE: JOHN K CLEMENTS O.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist	126T	WY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1346337847
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOHN K CLEMENTS O.D.

Provider Business Mailing Address
First Line	:	1421 S BEVERLY ST
Second Line	:
City	:	CASPER
State	:	WY
Zip	:	82609-4131
Country	:	US
Telephone Number	:	307-237-6025
Fax Number	:	307-237-6025

Provider Business Practice Location Address
First Line	:	1421 S BEVERLY ST
Second Line	:
City	:	CASPER
State	:	WY
Zip	:	82609-4131
Country	:	US
Telephone Number	:	307-237-6025
Fax Number	:	307-237-6025

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/06/2006
Last Update Date	:	02/03/2020

Similar Medicare Providers

1689762353 — DR. STEVEN LEE DACUS DDS
Practice Location Address:

1431 S BEVERLY ST
CASPER, WY
82609-4131

Practice Phone: 307-265-5334
Practice Fax: 307-265-5336

1508434986 — DR. TACI LYNN RABEN DDS
Practice Location Address:

1431 S BEVERLY ST
CASPER, WY
82609-4131

Practice Phone: 307-265-5334
Practice Fax:

1184293169 — DR. JAMESON BERT DAVIS DDS
Practice Location Address:

1431 S BEVERLY ST
CASPER, WY
82609-4131

Practice Phone: 307-265-5334
Practice Fax:

1235084328 — 307 DIAGNOSTIC CENTER
Practice Location Address:

1541 CENTENNIAL CT
CASPER, WY
82609-7304

Practice Phone: 307-439-6465
Practice Fax:

1629582457 — MARA LANE ANDERSON MA
Practice Location Address:

900 S FOREST DR
CASPER, WY
82609-2704

Practice Phone: 307-217-1685
Practice Fax:

1144726670 — MARTHA JO WILSON FNP-C
Practice Location Address:

2546 E 2ND ST STE 200
CASPER, WY
82609-2062

Practice Phone: 307-265-1110
Practice Fax: 307-265-1108

Directions to “ JOHN K CLEMENTS O.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.