NPI 1740345776 · live from the CMS NPI Registry
Roger Allan Anderson, OD
Optometrist in Sidney, MT. National Provider Identifier 1740345776, active.
NPI record
| NPI | 1740345776 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Optometrist 152W00000X |
| Practice location | 1405 4th St Sw, West Side Professional Center Ste 2, Sidney, MT 59270 |
| Practice phone | 406-488-2705 |
| Mailing address | 1405 4th St Sw, Ste 2, Sidney, MT 59270 |
| Enumerated | December 27, 2006 |
| Last updated | July 8, 2007 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Optometrist primary | 152W00000X | 414 (MT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.