NPI 1235381401 · live from the CMS NPI Registry
Great Northern Eye Care And Stumptown Spectacles, PLLC
Optometrist in Whitefish, MT. National Provider Identifier 1235381401, active.
NPI record
| NPI | 1235381401 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Optometrist 152W00000X |
| Practice location | 6414 Us Highway 93 S, Whitefish, MT 59937 |
| Practice phone | 406-862-6123 |
| Enumerated | October 19, 2008 |
| Last updated | August 31, 2009 |
| Authorized official | Eva Buker, Optometrist/Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinic/Center | 261Q00000X | 639 OPT (MT) |
| Optometrist primary | 152W00000X | 639 (MT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.