NPI 1114919826

Brian J Ballard, OD

Practitioner Optometrist Riverton, WY

Practice location

Address: 300 N Broadway Ave, Riverton, WY 82501-3545
Phone: (307) 856-9451
Fax: (307) 856-8548

Registered specialties

Optometrist Primary

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

Other Optometrist providers in Wyoming →

Registry record

NPI: 1114919826
Entity type: Individual
Sex (as registered): Male
NPI issued: 18 Aug 2005
Record last updated: 7 Oct 2011

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.