NPI 1619730249 · live from the CMS NPI Registry
Electric City Eyes
Optometrist in Great Falls, MT. National Provider Identifier 1619730249, active.
NPI record
| NPI | 1619730249 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Optometrist 152W00000X |
| Practice location | 905 10th Ave S, Great Falls, MT 59405 |
| Practice phone | 406-204-0074 |
| Mailing address | 3604 2nd Ave S, Great Falls, MT 59405 |
| Enumerated | February 5, 2024 |
| Last updated | February 19, 2024 |
| Authorized official | Audra Sexton, Optometrist |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Optometrist primary | 152W00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.