NPI 1952812331

Larry J. Bonderud, OD

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: 865 Oilfield Ave, Shelby, MT 59474-2702

Authorised official

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

Registered specialties

Optometrist Primary

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

Other Optometrist providers in Montana →

Registry record

NPI: 1952812331
Entity type: Organization
NPI issued: 12 Oct 2017
Record last updated: 17 Mar 2018

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.