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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JACOB HANNON

Active Sole Proprietor

JACOB HANNON is a Optometrist healthcare provider located in CODY, Wyoming. NPI 1124388525 is currently active in the NPPES registry. Verify at CMS.

Optometrist · CODY, WY

Registration Details

NPI Number
1124388525
Provider Type
Individual
Gender
Male
NPI Issued
May 21, 2012 (14.192172805464 yrs)
Last Updated
Mar 30, 2016
License
0618002148 (VA)
Sole Proprietor
Yes

Practice Information

Address
2814 KENT AVE
CODY, WY, 824148250
Browse WY providers · Browse ZIP 82414
Phone
3072722716
Primary Specialty
Optometrist
152W00000X
Additional Specialty
Optometrist

Other Optometrist Providers in CODY, WY

Name Credential NPI
MR. RICHARD D JONES OD 1477544161
DR. JAMES HARVEY BELL O.D. 1326029075
DR. TERENCE JOHN COLE OD 1609959816
DR. JONATHAN HARTLEY O.D. 1255523254
ALISA K STEWART OPTICIAN 1467617266
DR. JACOB G DESPAIN O.D. 1124284997
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.