Organization
RIVERTON VISION CENTER P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRIAN J BALLARD O.D. (OWNER)
(307) 856-9451
Entity
Organization
Contact information
Practice address
300 N BROADWAY AVE, RIVERTON, WY 82501-3545
(307) 856-9451
(307) 856-8548
Mailing address
300 N BROADWAY AVE, RIVERTON, WY 82501-3545
(307) 856-9451
(307) 856-8548
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100015200
—
WY
Enumeration date
08/18/2005
Last updated
05/13/2024
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