NPI 1073505699

Dubois Vision Center

Organisation Optometrist Dubois, WY

Practice location

Address: 1203 W Ramshorn Dr, Dubois, WY 82513-0480
Phone: (307) 455-2125
Fax: (307) 856-8548
Mailing address: PO Box 480, Dubois, WY 82513-0480

Authorised official

Name: Brian J Ballard
Title: Owner/Optometrist
Phone: (307) 856-9451

Registered specialties

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence 118T (WY)

Other Optometrist providers in Wyoming →

Registry record

NPI: 1073505699
Entity type: Organization
NPI issued: 19 Aug 2005
Record last updated: 8 Jul 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.