NPI 1336125319

Benjamin J Kister, OD

Practitioner Optometrist Riverton, WY

Practice location

Address: 400 E Adams Ave, Riverton, WY 82501-4413
Phone: (307) 856-6531
Fax: (307) 856-1306
Mailing address: PO Box 873, Riverton, WY 82501-0116

Registered specialties

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence 115T (WY)

Other Optometrist providers in Wyoming →

Registry record

NPI: 1336125319
Entity type: Individual
Sex (as registered): Male
NPI issued: 21 Dec 2005
Record last updated: 8 Apr 2008

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.