Whalio Doctors

NPI 1790047819

Emily Mathiak, OD

Practitioner Optometrist Crow Agency, MT

Practice location

Address
10110 South 7650 East, Crow Agency, MT 59022
Phone
(406) 638-3465
Mailing address
PO Box 9, Crow Agency, MT 59022-0009

Registered specialties

Optometrist Primary
Eye and Vision Services Providers Taxonomy 152W00000X Licence 4901004704 (MI)

Registry record

NPI
1790047819
Entity type
Individual
Sex (as registered)
Female
NPI issued
14 Jun 2012
Record last updated
4 Dec 2015

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.