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FAMILY VISION CLINIC
NPI 1104237601
Optometrist in Cody, WY

Active since May 19, 2014
1708 STAMPEDE AVE, CODY, WY 82414(307) 587-2404(307) 527-7368 Get Directions Write a Review

NPPES record last updated: May 19, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Family Vision Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FAMILY VISION CLINIC (NPI 1104237601) is a healthcare organization registered as an optometrist in Cody, Wyoming and active in the NPI registry since May 2014. The organization lists Jacob G Despain, Optometrist, as its authorized official.

NPPES Registry Identity

NPI1104237601
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameJACOB G. DESPAIN OD PC
Location Address1708 STAMPEDE AVECody, WY 82414-4829
Mailing Address1708 Stampede AveCody, WY 82414-4829 · (307) 587-2404 · Fax (307) 527-7368
Phone(307) 587-2404
Fax(307) 527-7368
Organization SubpartNo
Authorized OfficialJacob G DespainOptometrist · (307) 587-2404
Enumeration DateMay 19, 2014
✔ NPI 1104237601 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in WY · 327T
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
1708 STAMPEDE AVE, Cody, WY 82414
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Other Names 1

Doing Business AsFamily Vision Clinic

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Wyoming.Insurance ›

Medical Equipment Supplier Medicare DMEPOS 2

Medicare supplier enrollment and the product categories Family Vision Clinic carries, from the Medicare DMEPOS supplier directory.

Family Vision Clinic

DMEPOS supplier · Cody, WYOperated by Jacob G Despain Od PC
✔

Accepts Medicare assignment

Family Vision Clinic agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20497763
Medicare Participant SinceJuly 1, 2014
Supplier Location1708 Stampede Ave Ste BCody, WY 82414
Phone(307) 587-2404
Supplier Specialties
Optometrist

Medicare Product Categories

Prosthetic Lenses: Conventional Eyeglasses
Conventional Eyeglasses
Prosthetic Lenses: Conventional Contact Lenses
Conventional Contact Lenses
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JACOB G DESPAIN O.D.
Optometrist
1708 STAMPEDE AVE
CODY, WY 82414
Park County (307) 587-2404
CODY CHIROPRACTIC CENTER PC
Chiropractor
1708 STAMPEDE AVE, SUITE C
CODY, WY 82414
Park County (307) 587-5591
DR. MARK R SHANE DC
Chiropractor
1708 STAMPEDE AVE, SUITE C
CODY, WY 82414
Park County (307) 587-5591
MR. RICHARD D JONES OD
Optometrist
1708 STAMPEDE AVE
CODY, WY 82414
Park County (307) 587-2404
RICHARD D JONES ODPC
Optometrist
1708 STAMPEDE AVE
CODY, WY 82414
Park County (307) 587-2404
DR. KERSTIN OPITZ D.C.
Chiropractor
1708 STAMPEDE AVE
CODY, WY 82414
Park County (307) 587-5591

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jacob G. Despain Od PC's NPI number?

The NPI number for Jacob G. Despain Od PC is 1104237601. It was assigned to this organization in the NPPES registry on May 19, 2014. The provider is doing business as Family Vision Clinic.

Where is Jacob G. Despain Od PC located?

Jacob G. Despain Od PC is located at 1708 Stampede Ave, Cody, WY 82414. The listed phone number is (307) 587-2404.

What is Jacob G. Despain Od PC's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Does Jacob G. Despain Od PC accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Family Vision Clinic accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

What insurance does Jacob G. Despain Od PC accept?

Health plans from Blue Cross Blue Shield of Wyoming list Jacob G. Despain Od PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jacob G. Despain Od PC was last updated on May 19, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.