Wellformed AI

NPI 1740301407 · live from the CMS NPI Registry

John E Taylor O.D.

Optometrist in Conrad, MT. National Provider Identifier 1740301407, active.

NPI record

NPI1740301407 Type 2 · organization
StatusActive
Primary specialtyOptometrist 152W00000X
Practice location403 S Delaware St, Conrad, MT 59425
Practice phone406-278-5331
EnumeratedApril 2, 2007
Last updatedAugust 22, 2020
Authorized officialJohn Taylor, Owner

Taxonomies and licenses

TaxonomyCodeLicense
Optometrist primary152W00000X345 (MT)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.