NPI 1700136199 · live from the CMS NPI Registry
Jon C Kolstad OD, PC
Optometrist in Glasgow, MT. National Provider Identifier 1700136199, active.
NPI record
| NPI | 1700136199 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Optometrist 152W00000X |
| Practice location | 630 3rd Ave S, Glasgow, MT 59230 |
| Practice phone | 406-228-8641 |
| Enumerated | September 13, 2012 |
| Last updated | April 15, 2014 |
| Authorized official | Jon Kolstad, Optometrist/Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Optometrist primary | 152W00000X | 616MT (MT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.