NPI 1629283155 · live from the CMS NPI Registry
Advanced Eyecare LLC
Optometrist in Bozeman, MT. National Provider Identifier 1629283155, active.
NPI record
| NPI | 1629283155 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Optometrist 152W00000X |
| Practice location | 4265 Fallon St, Suite 1, Bozeman, MT 59718 |
| Practice phone | 406-587-0668 |
| Mailing address | 4265 Fallon St., Suite 1, Bozeman, MT 59718 |
| Enumerated | May 10, 2007 |
| Last updated | December 30, 2020 |
| Authorized official | Sonia Becker, Insurance Credentialing |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Optometrist primary | 152W00000X | — (MT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.