Larry J. Bonderud, Od
Optometrist in Conrad, MT. Organization (NPI-2).
NPI number1952812331
StatusActive
Last updated in NPPESMar 17, 2018
Details
- NPI
- 1952812331
- Entity type
- Organization (NPI-2)
- Legal business name
- Larry J. Bonderud, Od
- Organization subpart
- No
- Enumeration date
- Oct 12, 2017
- Last updated
- Mar 17, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | 393 | MT | Yes |
Other names
- Northern Montana Eyecare (Doing Business As)
Practice location
19 4th Ave SwConrad, MT 59425-2339
Phone 406-271-5517 · Fax 406-271-5518
Mailing address
865 Oilfield AveShelby, MT 59474-2702
Phone 406-434-5196
Other practice locations
865 Oilfield Ave
Shelby, MT 59474-2702
Shelby, MT 59474-2702
Phone 406-434-5196
Authorized official
Larry James Bonderud
Owner
4064345196
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Other Optometrist providers in Conrad, MT
- John E Taylor O.D.NPI 1740301407
- Larry Bonderud & Mark Stanchfield OptometristsNPI 1295850535
- Pondera Medical Center Eye Clinic PLLCNPI 1043523723
- Pondera Medical Center ONPI 1033489877
- John E Taylor, O.D.NPI 1871661355
All 6 Optometrist providers in Conrad · All 76 providers in Conrad
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