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NPI 1295050029 · live from the CMS NPI Registry

Dr. Gregory Cavanaugh OD PC

Optometrist in Sidney, MT. National Provider Identifier 1295050029, active.

NPI record

NPI1295050029 Type 2 · organization
StatusActive
Primary specialtyOptometrist 152W00000X
Practice location112 2nd St Se, Sidney, MT 59270
Practice phone406-482-2609
Mailing addressPo Box 1008, Sidney, MT 59270
EnumeratedApril 5, 2010
Last updatedAugust 9, 2012
Authorized officialGregory Cavanaugh, Owner
Other namesFamily Eye Care

Taxonomies and licenses

TaxonomyCodeLicense
Optometrist primary152W00000X415OPT (MT)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.