DR. WILLIAM BRUCE BOURLAND OD NPI 1063413318

NPI Information

NPI: 1063413318
Provider Name: DR. WILLIAM BRUCE BOURLAND, OD
Classification: Optometrist - 152W00000X
Entity Type: Individual
Address: 701 FRONT ST
EVANSTON, WY
ZIP 82930
Phone: (307) 789-8820

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NPI Details

DR. William Bruce Bourland, OD is an optometrist in Evanston, WY. The provider is 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. DR. William Bruce Bourland, OD NPI is 1063413318. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

701 FRONT ST
EVANSTON, WY
ZIP 82930-522
Phone: (307) 789-8820
Fax: (307) 789-8823

The enumeration date for this NPI number is 8/9/2005 and was last updated on 9/15/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	152W00000X	Optometrist		238	NEW MEXICO	No
2	152W00000X	Optometrist		203T	WYOMING	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	4437740001	OTHER		CIGNA/MEDICARE
2	830336991	OTHER		AETNA
3	T74978	MEDICARE UPIN
4	102083800	MEDICAID	WYOMING
5	W309166	MEDICARE ID-TYPE UNSPECIFIED

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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