WILLIAM BRUCE BOURLAND OD PC
NPI 1619147733
Optometrist in Evanston, WY

Active since March 04, 2008
701 FRONT ST, EVANSTON, WY 82930(307) 789-8820 Get Directions Write a Review

NPPES record last updated: January 24, 2011. Verified against the NPPES registry weekly; last sync: September 13, 2026.

About William Bruce Bourland Od Pc NPPES

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

WILLIAM BRUCE BOURLAND OD PC (NPI 1619147733) is a healthcare organization registered as an optometrist in Evanston, Wyoming and active in the NPI registry since March 2008. The organization lists William Bourland, President, as its authorized official.

NPPES Registry Identity

NPI1619147733
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameWILLIAM BRUCE BOURLAND OD PC
Location Address701 FRONT STEvanston, WY 82930-3522
Mailing Address701 Front StEvanston, WY 82930-3522 · (307) 789-8820
Organization SubpartNo
Authorized OfficialWilliam BourlandPresident · (307) 789-8820
Enumeration DateMarch 4, 2008
Last NPPES UpdateJanuary 24, 2011
NPI 1619147733 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 · 203T
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.
701 FRONT ST, Evanston, WY 82930

Other Identifiers 4

Medicare PIN309166WY
Medicare UPIN309167WY
Medicare NSC4437740001WY
Medicaid102083800WY

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

Other Providers at the Same Location NPPES

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

Optometrist
701 FRONT ST
EVANSTON, WY 82930

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 William Bruce Bourland Od PC's NPI number?

The NPI number for William Bruce Bourland Od PC is 1619147733. It was assigned to this organization in the NPPES registry on March 4, 2008.

Where is William Bruce Bourland Od PC located?

William Bruce Bourland Od PC is located at 701 Front St, Evanston, WY 82930. The listed phone number is (307) 789-8820.

What is William Bruce Bourland Od PC's specialty?

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

When was this NPI record last updated?

The NPPES record for William Bruce Bourland Od PC was last updated on January 24, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.