NPI 1023690757

Mark Wayne Mutter, OD

Practitioner Optometrist Missoula, MT

Practice location

Address: 700 W Kent Ave, Missoula, MT 59801-6772
Phone: (406) 541-3937
Fax: (406) 541-3811

Registered specialties

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence 4079 (MT)

Other Optometrist providers in Montana →

Registry record

NPI: 1023690757
Entity type: Individual
Sex (as registered): Male
NPI issued: 22 Apr 2021
Record last updated: 8 Dec 2023

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.