NPI 1972696995 · live from the CMS NPI Registry
Peter Babcock, O.D.
Optometrist in Missoula, MT. National Provider Identifier 1972696995, active.
NPI record
| NPI | 1972696995 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Optometrist 152W00000X |
| Practice location | 700 W Kent Ave, Missoula, MT 59801 |
| Practice phone | 406-541-3937 |
| Mailing address | 4150 Bain Ave, Santa Cruz, CA 95062 |
| Enumerated | October 2, 2006 |
| Last updated | April 22, 2021 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Optometrist primary | 152W00000X | 11576 (AK) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.