Individual provider Active NPI

Jacob Belus, OD

  • Optometrist
  • Sheridan, WY
National Provider Identifier
1255267134
Registry record updated Jun 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
477T Issued in WY
Practice address
1450 Sugarland Dr
Sheridan, WY 82801-5730
Phone
(307) 673-5177
Fax
(307) 673-5170
NPI assigned
Jun 19, 2026
Last updated
Jun 19, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 477T WY Primary

Addresses

Primary practice location

1450 Sugarland Dr
Sheridan, WY 82801-5730

Mailing address

1450 Sugarland Dr
Sheridan, WY 82801-5730
Phone (307) 673-5177

Other practice location 1

530 Running W Dr Ste 110
Gillette, WY 82718-2074
Phone (307) 682-2747

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Wyovision Associates Inc Optometrist CurrentSince Aug 13, 2026 Accepting new patients

Locations

1450 Sugarland Dr
Sheridan, WY 82801
Phone (307) 673-5177

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1781827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781827200000",
    "number": "1255267134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1450 SUGARLAND DR",
            "city": "SHERIDAN",
            "state": "WY",
            "postal_code": "828015730",
            "telephone_number": "307-673-5177",
            "fax_number": "307-673-5170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 SUGARLAND DR",
            "city": "SHERIDAN",
            "state": "WY",
            "postal_code": "828015730",
            "telephone_number": "307-673-5177",
            "fax_number": "307-673-5170"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "530 Running W Dr Ste 110",
            "address_purpose": "LOCATION",
            "city": "Gillette",
            "state": "WY",
            "postal_code": "827182074",
            "country_code": "US",
            "telephone_number": "307-682-2747",
            "fax_number": "307-333-0215",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BELUS",
        "first_name": "JACOB",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-06-19",
        "last_updated": "2026-06-19",
        "certification_date": "2026-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WY",
            "license": "477T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sheridan, WY

Sources for this page

Verify at the official NPI Registry.