Dubois Vision Center

NPI #1073505699 in Dubois, Wyoming

Provider Information

NPI Number: 1073505699
Entity Type: Organization
Organization Name: Dubois Vision Center
Primary Specialty: Optometrist
Enumeration Date: Aug 19, 2005
Last Updated: Jul 8, 2010

Practice Location

Address: 1203 W RAMSHORN DR
City: Dubois
State: Wyoming
ZIP Code: 82513-0480
Phone: (307) 455-2125

Authorized Official

Name: MR. BRIAN J BALLARD, O.D.
Title: OWNER/OPTOMETRIST
Phone: (307) 856-9451

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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