Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jacob G. Despain OD PC

Organization Optometrist · NPI 1104237601

Jacob G. Despain OD PC is an Optometrist in Cody, Wyoming. Licensed in Wyoming. Registered with an NPI since 2014.

Licensed in
WY
In the registry since
2014
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1708 Stampede Ave
Cody, WY 82414-4829
Phone: (307) 587-2404
Fax: (307) 527-7368
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 327T (WY)

Record details

NPI number1104237601
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jacob Despain — Optometrist · (307) 587-2404
Other names Family Vision Clinic
NPI enumeratedMay 19, 2014
Last updated in NPPESMay 19, 2014
Mailing address1708 Stampede Ave, Cody, WY 82414-4829

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