Jacob G. Despain Od PC
NPI 1104237601ActiveOrganization· Optometrist· Cody, WY
Optometrist in Cody, Wyoming, registered in NPPES in May 2014. The authorized official on file is Jacob G. Despain, O.D., Optometrist. Enrolled in Medicare as dme supplier - physician - optometrist and part b supplier - clinic/group practice.
Overview
| NPI | 1104237601 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 19, 2014 |
| Last updated in NPPES | May 19, 2014 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X | 327T | WY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled DME Supplier - Physician - Optometrist (WY); Part B Supplier - Clinic/Group Practice (WY) |
|---|
Other Optometrist providers in Cody
- 1689707820
- 1700867884
- 1326029075
- 1801437140
- 1609959816
- 1124284997
- 1124388525
- 1255523254
- 1477544161
- 1467617266