William Bruce Bourland Od PC
William Bruce Bourland Od PC is a healthcare organization registered as Optometrist in Evanston, WY, holding Type 2 (organization) NPI 1619147733 since 2008. The authorized official on file is William Bourland, President.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1619147733 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | William Bruce Bourland Od PC |
| Practice address | 701 FRONT ST, Evanston, WY, 82930 |
| Phone | 3077898820 |
| Enumeration date | 2008-03-04 |
| Last updated in NPPES | 2011-01-24 |
Authorized official
| Name | William Bourland |
|---|---|
| Title | President |
| Phone | 3077898820 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 152W00000X | Optometrist | Primary | 203T | WY |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 102083800 | Medicaid | WY | — |
Copy-ready billing details
Provider: William Bruce Bourland Od PC NPI: 1619147733 Taxonomy: 152W00000X (Optometrist) Address: 701 FRONT ST, Evanston, WY, 82930
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1063413318 | William Bourland | Individual | Optometrist | Evanston, WY |
Verify this record
Cross-check NPI 1619147733 against the authoritative CMS record: view William Bruce Bourland Od PC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What type of organization is William Bruce Bourland Od PC?
What is a Type 2 NPI?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2011-01-24.