Whalio Doctors

NPI 1265641203

Jonathan Robert Bundy, OD

Practitioner Optometrist Missoula, MT

Practice location

Address
726 Kensington Ave, Missoula, MT 59801-5720
Phone
(406) 549-9413
Fax
(406) 543-4410

Registered specialties (3)

Optometrist Primary
Eye and Vision Services Providers Taxonomy 152W00000X Licence 4917 (MT)
Optometrist
Eye and Vision Services Providers Taxonomy 152W00000X Licence S-B55-TA-765 (AL)
Optometrist
Eye and Vision Services Providers Taxonomy 152W00000X Licence 1607 (AZ)

Registry record

NPI
1265641203
Entity type
Individual
Sex (as registered)
Male
NPI issued
22 May 2007
Record last updated
26 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.