Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. LUKE DEWEY BROG, O.D.
ActiveOptometrist · THAYNE, WY
Registration Details
- NPI Number
- 1831262641
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 17, 2006 (19.425970890963 yrs)
- Last Updated
- Jul 9, 2007
- License
-
296T (WY)
Practice Information
- Address
-
122 PETERSEN PARKWAYSUITE 1THAYNE, WY, 83127Browse WY providers · Browse ZIP 83127
- Phone
- 3078834678
- Primary Specialty
-
Optometrist
152W00000X
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.