Whalio Doctors

NPI 1295019339

Derek Alan Walton, OD

Practitioner Optometrist Riverton, WY

Practice location

Address
400 E Adams Ave, Riverton, WY 82501-4413
Phone
(307) 856-3937
Fax
(307) 856-1306

Registered specialties (2)

Optometrist Primary
Eye and Vision Services Providers Taxonomy 152W00000X Licence 413T (WY)
Optometrist
Eye and Vision Services Providers Taxonomy 152W00000X Licence 8527006-9934 (UT)

Registry record

NPI
1295019339
Entity type
Individual
Sex (as registered)
Male
NPI issued
7 Oct 2011
Record last updated
21 Jul 2022

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.