OrganizationActive
Charles R. Vandervort, O.D., P.C.
NPI 1467697862 · Optometrist · Green River, WY
Charles R. Vandervort, O.D., P.C. is a Optometrist organization in Green River, WY (NPI 1467697862).
Provider details
- NPI number
- 1467697862
- Entity type
- Organization
- Primary specialty
- OptometristEye and Vision Services Providers
- Organization subpart
- No
- Authorized official
- Charles Vandervort, President(307) 875-4538
- License
- 101T (WY)
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
Detailed profile(86/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
665 Uinta Dr
Green River, WY 82935-5031
Phone: (307) 875-4538
Fax: (307) 875-8997
Street-level locationGet directions
Mailing address
665 Uinta Dr
Green River, WY 82935-5031
Other names (DBA / former)
- Doing business as
- Eye Care Specialists of Green River
Registry dates
- Enumerated
- 2008-12-14
- Last updated
- 2010-08-11
Frequently asked questions
- What is Charles R. Vandervort, O.D., P.C.'s NPI number?
- Charles R. Vandervort, O.D., P.C.'s National Provider Identifier (NPI) is 1467697862, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Charles R. Vandervort, O.D., P.C.?
- Charles R. Vandervort, O.D., P.C. is classified in the NPPES registry as Optometrist (Eye and Vision Services Providers).
- Where is Charles R. Vandervort, O.D., P.C. located?
- Charles R. Vandervort, O.D., P.C.'s practice location on file with NPPES is 665 Uinta Dr, Green River, WY 82935-5031.
- What is Charles R. Vandervort, O.D., P.C.'s phone number?
- The practice phone number listed in the NPPES registry for Charles R. Vandervort, O.D., P.C. is (307) 875-4538.
- Who is the authorized official for Charles R. Vandervort, O.D., P.C.?
- The authorized official listed on Charles R. Vandervort, O.D., P.C.'s NPPES record is Charles Vandervort, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Charles R. Vandervort, O.D., P.C.'s NPI active?
- Yes — Charles R. Vandervort, O.D., P.C.'s NPI (1467697862) is active in the NPPES registry as of the last update on 2010-08-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.