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NPI Code Detail

MEDICARE: DR. SAMUEL EDWARD NAVON

MEDICARE: DR. SAMUEL EDWARD NAVON
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
1207W00000XOphthalmology Physician200000285NC
2207W00000XOphthalmology Physician21706SC
3207W00000XOphthalmology Physician17263AWY

Other Identifiers

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

General Provider Information

NPI Number : 1962451336
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SAMUEL EDWARD NAVON
Provider Business Mailing Address
First Line : 201 W LAKEWAY RD STE 1004
Second Line :
City : GILLETTE
State : WY
Zip : 82718-6349
Country : US
Telephone Number : 307-387-9850
Fax Number : 307-387-9890
Provider Business Practice Location Address
First Line : 469 HIGHWAY 50
Second Line :
City : GILLETTE
State : WY
Zip : 82718-9330
Country : US
Telephone Number : 307-387-9850
Fax Number : 307-387-9890
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/10/2006
Last Update Date : 03/18/2025

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Directions to “ DR. SAMUEL EDWARD NAVON ” Practice Location

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