NPI 1770543779 · live from the CMS NPI Registry
Eye Clinic Of Great Falls, P.C.
Optometrist in Great Falls, MT. National Provider Identifier 1770543779, active.
NPI record
| NPI | 1770543779 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Optometrist 152W00000X |
| Practice location | 509 2nd Ave N, Great Falls, MT 59401 |
| Practice phone | 406-452-9507 |
| Mailing address | Po Box 3427, Great Falls, MT 59403 |
| Enumerated | March 24, 2006 |
| Last updated | May 2, 2011 |
| Authorized official | Patrick Stibel, President |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Optometrist | 152W00000X | 568 (MT) |
| Optometrist | 152W00000X | 794 (MT) |
| Optometrist primary | 152W00000X | 470 (MT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.