NPI 1295850535

Larry Bonderud & Mark Stanchfield Optometrists

Organisation Optometrist Conrad, MT

Practice location

Address: 19 4th Ave SW, Conrad, MT 59425-2339
Phone: (406) 271-5517
Fax: (406) 271-5518
Mailing address: PO Box 815, Conrad, MT 59425-0815

Authorised official

Name: Larry James Bonderud
Title: Owner
Phone: (406) 434-5196

Registered specialties (2)

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence 516 (MT)

Other Optometrist providers in Montana →

Optometrist

Eye and Vision Services Providers Taxonomy 152W00000X Licence 393 (MT)

Registry record

NPI: 1295850535
Entity type: Organization
NPI issued: 19 Mar 2007
Record last updated: 27 Jul 2010

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.