NPI 1568086379 · live from the CMS NPI Registry
Mackenzie Fai, OD
Optometrist in Kalispell, MT. National Provider Identifier 1568086379, active.
NPI record
| NPI | 1568086379 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Optometrist 152W00000X |
| Practice location | 175 Timberwolf Pkwy, Kalispell, MT 59901 |
| Practice phone | 406-257-2020 |
| Enumerated | June 8, 2020 |
| Last updated | October 23, 2024 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Optometrist primary | 152W00000X | 4264 (MT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.