Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JACKSON RILEY FITZGERALD, OD
Active Sole ProprietorOptometrist · AFTON, WY
Registration Details
- NPI Number
- 1598495384
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 14, 2022 (3.8534087008439 yrs)
- Last Updated
- Feb 6, 2024
- Licenses
-
548T (WY)OPT-OPT-LIC-4481 (MT)
- Sole Proprietor
- Yes
Practice Information
- Address
-
50 E 4TH AVEAFTON, WY, 831105027Browse WY providers · Browse ZIP 83110
- Phone
- 3078853975
- Primary Specialty
-
Optometrist
152W00000X
- Additional Specialty
- Optometrist
Other Optometrist Providers in AFTON, WY
| Name | Credential | NPI |
|---|---|---|
| DR. JAMES EDWARD MOSER | O.D. | 1326194820 |
| JENNING VOSS | O.D. | 1811249154 |
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.