NPI 1194721241 · live from the CMS NPI Registry
Jennifer Sakura Gannon, OD, FAAO
Optometrist in Browning, MT. National Provider Identifier 1194721241, active.
NPI record
| NPI | 1194721241 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Optometrist 152W00000X |
| Practice location | Blackfeet Community Hospital Eye Clinic, Hopsital Circle, Browning, MT 59417 |
| Practice phone | 406-338-6140 |
| Mailing address | 29 Hall, Cut Bank, MT 59427 |
| Enumerated | June 23, 2005 |
| Last updated | July 8, 2007 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Optometrist primary | 152W00000X | 233 (AK) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.