NPI 1093880692 · live from the CMS NPI Registry
Brandt Dennehy, O.D.
Optometrist in Butte, MT. National Provider Identifier 1093880692, active.
NPI record
| NPI | 1093880692 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Optometrist 152W00000X |
| Practice location | 2410 Amherst Ave, Butte, MT 59701 |
| Practice phone | 406-494-6692 |
| Mailing address | 2260 South Dr, Butte, MT 59701 |
| Enumerated | November 21, 2006 |
| Last updated | July 8, 2007 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Optometrist primary | 152W00000X | 670 (MT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.