NPI 1770031452 · live from the CMS NPI Registry
John Anderson, O.D.
Optometrist in Bozeman, MT. National Provider Identifier 1770031452, active.
NPI record
| NPI | 1770031452 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Optometrist 152W00000X |
| Practice location | 815 W College St Ste B, Bozeman, MT 59715 |
| Practice phone | 406-587-8333 |
| Enumerated | September 12, 2016 |
| Last updated | February 23, 2017 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Optometrist primary | 152W00000X | OPT-OPT-LIC-2799 (MT) |
| Optometrist | 152W00000X | ODP-100378 (ID) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.