NPI 1285799650 · live from the CMS NPI Registry
Chad Krezelok, O.D.
Optometrist in Bozeman, MT. National Provider Identifier 1285799650, active.
NPI record
| NPI | 1285799650 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Optometrist 152W00000X |
| Practice location | 1500 N 7th Ave, Bozeman, MT 59715 |
| Practice phone | 406-585-8153 |
| Mailing address | 17 E Story St Apt 1, Bozeman, MT 59715 |
| Enumerated | December 26, 2006 |
| Last updated | July 9, 2007 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Optometrist primary | 152W00000X | 782 (MT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.