NPI 1033489877

Pondera Medical Center O

Organisation Optometrist Conrad, MT

Practice location

Address: 403 S Delaware St, Conrad, MT 59425-2310
Phone: (406) 278-5331
Mailing address: PO Box 758, Conrad, MT 59425-0758

Authorised official

Name: Wayne Ogburn
Title: Ceo
Phone: (406) 271-3211

Registered specialties

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence 820 (MT)

Other Optometrist providers in Montana →

Registry record

NPI: 1033489877
Entity type: Organization
NPI issued: 11 Jan 2012
Record last updated: 25 Jul 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.