Whalio Doctors

NPI 1144759945

Vance Thompson Vision Mt Prof LLC

Organisation Ophthalmology Physician Bozeman, MT

Practice location

Address
1925 N 22nd Ave, Bozeman, MT 59718-7020
Phone
(877) 522-3937
Mailing address
3101 W 57th St, Sioux Falls, SD 57108-3162

Authorised official

Name
Matt Jensen
Title
Ceo
Phone
(605) 361-3937

Registered specialties (3)

Ophthalmology Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207W00000X
Optometrist
Eye and Vision Services Providers Taxonomy 152W00000X
Ophthalmology Physician
Allopathic & Osteopathic Physicians Taxonomy 207W00000X Licence MED-PHYS-LIC-57511 (MT)

Registry record

NPI
1144759945
Entity type
Organization
NPI issued
6 Jun 2017
Record last updated
7 Jan 2021

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.