NPI 1831768779 · live from the CMS NPI Registry
Levi Ryan Black, OD
Optometrist in Ronan, MT. National Provider Identifier 1831768779, active.
NPI record
| NPI | 1831768779 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Optometrist 152W00000X |
| Practice location | 417 Main St Sw, Ronan, MT 59864 |
| Practice phone | 406-676-3937 |
| Enumerated | June 24, 2021 |
| Last updated | June 24, 2021 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Optometrist primary | 152W00000X | OPT-OPT-LIC-4214 (MT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.