NPI 1235680760 · live from the CMS NPI Registry
Chad Krezelok O.D. PLLC
Optometrist in Bozeman, MT. National Provider Identifier 1235680760, active.
NPI record
| NPI | 1235680760 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Optometrist 152W00000X |
| Practice location | 1500 N 7th Ave, Bozeman, MT 59715 |
| Practice phone | 406-585-8153 |
| Enumerated | October 19, 2016 |
| Last updated | October 19, 2016 |
| Authorized official | Maci Clark, Office Manager |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Optometrist primary | 152W00000X | 0782 (MT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.