Healthcare Provider Details

I. General information

NPI: 1811501216
Provider Name (Legal Business Name): ALDEN VISION LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/02/2020
Last Update Date: 10/09/2025
Certification Date: 10/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4641 SW WYOMING BLVD
CASPER WY
82601-6702
US

IV. Provider business mailing address

4641 SW WYOMING BLVD
CASPER WY
82601-6702
US

V. Phone/Fax

Practice location:
  • Phone: 307-472-2020
  • Fax: 307-237-2020
Mailing address:
  • Phone: 307-472-2020
  • Fax: 307-237-2020

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QH0100X
TaxonomyHealth Service Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ASHLEY ALDEN
Title or Position: CEO
Credential: OD
Phone: 307-752-3184