NPI 1205280989 · live from the CMS NPI Registry
Gallatin Valley Vision, LLC
Optometrist in Bozeman, MT. National Provider Identifier 1205280989, active.
NPI record
| NPI | 1205280989 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Optometrist 152W00000X |
| Practice location | 2825 W Main St Ste 1e, Bozeman, MT 59718 |
| Practice phone | 406-587-7050 |
| Enumerated | April 19, 2016 |
| Last updated | April 19, 2016 |
| Authorized official | Jessica Lemons, Optometrist |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Optometrist primary | 152W00000X | 2236 (MT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.