NPI 1740867506 · live from the CMS NPI Registry
Wyatt Eckert, OD
Optometrist in Kalispell, MT. National Provider Identifier 1740867506, active.
NPI record
| NPI | 1740867506 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Optometrist 152W00000X |
| Practice location | 580 N Meridian Rd, Kalispell, MT 59901 |
| Practice phone | 406-755-5910 |
| Mailing address | 5370 Treasure Canyon Dr, Helena, MT 59602 |
| Enumerated | March 26, 2021 |
| Last updated | July 8, 2022 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | — |
| Optometrist primary | 152W00000X | 4479 (MT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.