NPI 1134062698 · live from the CMS NPI Registry
Chinook Eye Center, LLC
Optometrist in Chinook, MT. National Provider Identifier 1134062698, active.
NPI record
| NPI | 1134062698 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Optometrist 152W00000X |
| Practice location | 419 Pennsylvania St, Chinook, MT 59523 |
| Practice phone | 801-400-2068 |
| Mailing address | 1537 E 925 S, Clearfield, UT 84015 |
| Enumerated | April 10, 2026 |
| Last updated | July 9, 2026 |
| Authorized official | John Perez, OD, Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Optometrist primary | 152W00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.