Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Charles R. Vandervort, OD

Individual provider Optometrist · NPI 1629047758

Charles R. Vandervort, OD is an Optometrist in Green River, Wyoming. Practices as a sole proprietor. Licensed in Wyoming.

Licensed in
WY
In the registry since
2006
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

665 Uinta Dr
Green River, WY 82935-5031
Phone: (307) 875-4538
Fax: (307) 875-8997
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 101T (WY)

Record details

NPI number1629047758
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorYes
NPI enumeratedMarch 14, 2006
Last updated in NPPESSeptember 17, 2012
Mailing address665 Uinta Dr, Green River, WY 82935-5031

Other providers in Green River