NPI 1225209513 · live from the CMS NPI Registry
Advanced Eyecare LLC
Optometrist in Bozeman, MT. National Provider Identifier 1225209513, active.
NPI record
| NPI | 1225209513 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Optometrist 152W00000X |
| Practice location | 4265 Fallon St Ste 1, Bozeman, MT 59718 |
| Practice phone | 406-577-2507 |
| Mailing address | 91 W Madison Ave Ste B, Belgrade, MT 59714 |
| Enumerated | March 14, 2008 |
| Last updated | June 9, 2021 |
| Authorized official | Sonia Becker, Credentialing |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Durable Medical Equipment & Medical Supplies, Customized Equipment | 332BC3200X | — |
| Optometrist primary | 152W00000X | 0492 (MT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.