NPI 1740515469 · live from the CMS NPI Registry
Dale R. Thoman, O.D. PLLC
Optometrist in Missoula, MT. National Provider Identifier 1740515469, active.
NPI record
| NPI | 1740515469 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Optometrist 152W00000X |
| Practice location | 2901 Brooks St, (Inside Lenscrafters), Missoula, MT 59801 |
| Practice phone | 406-549-9779 |
| Enumerated | October 14, 2009 |
| Last updated | October 14, 2009 |
| Authorized official | Dale Thoman, Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Optometrist primary | 152W00000X | MT775 (MT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.