NPI 1265026033 · live from the CMS NPI Registry
Cody Philip Blom, O.D.
Optometrist in Butte, MT. National Provider Identifier 1265026033, active.
NPI record
| NPI | 1265026033 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Optometrist 152W00000X |
| Practice location | 1221 Dewey Blvd, Butte, MT 59701 |
| Practice phone | 406-494-2222 |
| Mailing address | 2780 Tempest Ct, Bozeman, MT 59718 |
| Enumerated | February 23, 2021 |
| Last updated | February 23, 2021 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Optometrist primary | 152W00000X | 3974 (MT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.