Jacob G. Despain Od PC
Optometrist in Cody, WY. Organization (NPI-2).
NPI number1104237601
StatusActive
Last updated in NPPESMay 19, 2014
Details
- NPI
- 1104237601
- Entity type
- Organization (NPI-2)
- Legal business name
- Jacob G. Despain Od PC
- Organization subpart
- No
- Enumeration date
- May 19, 2014
- Last updated
- May 19, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | 327T | WY | Yes |
Other names
- Family Vision Clinic (Doing Business As)
Practice location
1708 Stampede AveCody, WY 82414-4829
Phone 307-587-2404 · Fax 307-527-7368
Mailing address
1708 Stampede AveCody, WY 82414-4829
Phone 307-587-2404 · Fax 307-527-7368
Authorized official
Jacob G Despain
Optometrist
3075872404
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Other Optometrist providers in Cody, WY
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- Kristanza Marie Bronnenberg, ODNPI 1801437140
- Terence John Cole, ODNPI 1609959816
- Jacob G Despain, O.D.NPI 1124284997
- Jacob HannonNPI 1124388525
- Jonathan Hartley, O.D.NPI 1255523254
- Richard D Jones, ODNPI 1477544161
- Richard D Jones OdpcNPI 1700867884
- Alisa K Stewart, OPTICIANNPI 1467617266
All 11 Optometrist providers in Cody · All 711 providers in Cody
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