JACOB HANNON
Optometrist
Active
Individual
NPI: 1124388525
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | No | - |
| Optometrist | 152W00000X | Yes | 0618002148 (VA) |
Frequently Asked Questions
NPI 1124388525 is the National Provider Identifier for JACOB HANNON, a Optometrist provider located in Cody, WY. This NPI was enumerated on May 21, 2012.
JACOB HANNON practices at 2814 KENT AVE, Cody, WY 82414.
Quick Facts
- NPI
- 1124388525
- Type
- Individual
- Enumerated
- May 21, 2012
- Last Updated
- Mar 30, 2016
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