NPI 1063413318

William Bruce Bourland, OD

Practitioner Optometrist Evanston, WY

Practice location

Address: 701 Front St, Evanston, WY 82930-3522
Phone: (307) 789-8820
Fax: (307) 789-8823

Registered specialties (2)

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence 203T (WY)

Other Optometrist providers in Wyoming →

Optometrist

Eye and Vision Services Providers Taxonomy 152W00000X Licence 238 (NM)

Registry record

NPI: 1063413318
Entity type: Individual
Sex (as registered): Male
NPI issued: 9 Aug 2005
Record last updated: 15 Sep 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.