| NPI | 1033397500 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBYN LYNN PETERSON Doctor Of O PT Ometry 307-635-1073 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: WY 319T) |
| Enumeration Date | 2008-02-06 |
| Last Update Date | 2018-03-17 |