IndividualActive
Brian Ballard, O.D.
NPI 1114919826 · Optometrist · Riverton, WY
Provider details
- NPI number
- 1114919826
- Entity type
- Individual
- Primary specialty
- OptometristEye and Vision Services Providers
- Credential
- O.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 118T (WY)
Specialties & taxonomies
Eye and Vision Services Providers
Practice location
300 N Broadway Ave
Riverton, WY 82501-3545
Phone: (307) 856-9451
Fax: (307) 856-8548
Approximate (ZIP-level) locationGet directions
Mailing address
300 N Broadway Ave
Riverton, WY 82501-3545
Registry dates
- Enumerated
- 2005-08-18
- Last updated
- 2011-10-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.