Whalio Doctors

NPI 1235680760

Chad Krezelok O.D. PLLC

Organisation Optometrist Bozeman, MT

Practice location

Address
1500 N 7th Ave, Bozeman, MT 59715-2557
Phone
(406) 585-8153

Authorised official

Name
Maci Clark
Title
Office Manager
Phone
(406) 585-8153

Registered specialties

Optometrist Primary
Eye and Vision Services Providers Taxonomy 152W00000X Licence 0782 (MT)

Registry record

NPI
1235680760
Entity type
Organization
NPI issued
19 Oct 2016
Record last updated
19 Oct 2016

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.