NPI 1184666422

Paul L. Gustafson, OD

Practitioner Optometrist Casper, WY

Practice location

Address: 543 S David St, Casper, WY 82601-3196
Phone: (307) 237-9494
Fax: (307) 237-1370

Registered specialties

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence 267T (WY)

Other Optometrist providers in Wyoming →

Registry record

NPI: 1184666422
Entity type: Individual
Sex (as registered): Male
NPI issued: 12 Jun 2006
Record last updated: 20 Oct 2015

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.