Whalio Doctors

NPI 1437179322

Lamont Roberson, OD

Practitioner Optometrist Evanston, WY

Practice location

Address
125 N. 2nd Ave, Evanston, WY 82930
Phone
(307) 789-9573
Mailing address
PO Box 1583, Thayne, WY 83127-1583

Registered specialties

Optometrist Primary
Eye and Vision Services Providers Taxonomy 152W00000X Licence 302T (WY)

Registry record

NPI
1437179322
Entity type
Individual
Sex (as registered)
Male
NPI issued
20 Jul 2006
Record last updated
8 Jul 2007

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.