NPI 1679980965 · live from the CMS NPI Registry
3 Rivers Eyecare LLC
Optometrist in Missoula, MT. National Provider Identifier 1679980965, active.
NPI record
| NPI | 1679980965 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Optometrist 152W00000X |
| Practice location | 700 South Ave W, Ste G, Missoula, MT 59801 |
| Practice phone | 406-549-4851 |
| Enumerated | July 17, 2014 |
| Last updated | July 17, 2014 |
| Authorized official | Matthew Burgess, Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Optometrist primary | 152W00000X | 2200 (MT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.