NPI 1396398442 · live from the CMS NPI Registry
Big Sky Eyes PC
Optometrist in Big Sky, MT. National Provider Identifier 1396398442, active.
NPI record
| NPI | 1396398442 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Optometrist 152W00000X |
| Practice location | 99 Town Center Ave, Unit #A6, Big Sky, MT 59716 |
| Practice phone | 406-414-0006 |
| Mailing address | 99 Town Center Ave, Unit #A6, P.O. Box # 160700, Big Sky, MT 59716 |
| Enumerated | July 18, 2019 |
| Last updated | October 11, 2019 |
| Authorized official | Erica Perlman - Hensen, Doctor |
| Other names | Big Sky Eyes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Optometrist, Corneal and Contact Management | 152WC0802X | — |
| Optometrist, Low Vision Rehabilitation | 152WL0500X | — |
| Optometrist, Pediatrics | 152WP0200X | — |
| Optometrist, Sports Vision | 152WS0006X | — |
| Optometrist, Occupational Vision | 152WX0102X | — |
| Optometrist primary | 152W00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.