NPI 1679519805 · live from the CMS NPI Registry
Michelle Leidenix Botner, OD
Optometrist in Whitefish, MT. National Provider Identifier 1679519805, active.
NPI record
| NPI | 1679519805 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Optometrist 152W00000X |
| Practice location | 509 E 6th St, Whitefish, MT 59937 |
| Practice phone | 406-862-2020 |
| Enumerated | June 22, 2006 |
| Last updated | April 17, 2025 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Optometrist | 152W00000X | ND 511 (ND) |
| Optometrist | 152W00000X | 1562 (MT) |
| Optometrist primary | 152W00000X | MT1562 (MT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.