NPI 1679620587 · live from the CMS NPI Registry
Jon C Kolstad, OD PC
Optometrist in Glasgow, MT. National Provider Identifier 1679620587, active.
NPI record
| NPI | 1679620587 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Optometrist 152W00000X |
| Practice location | 630 3rd Ave S, Glasgow, MT 59230 |
| Practice phone | 406-228-8641 |
| Enumerated | January 4, 2007 |
| Last updated | April 15, 2014 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Optometrist primary | 152W00000X | 616 (MT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.