Dr. Kenneth A. Ethier Od Pc

LBN: Dr. Kenneth A. Ethier Od Pc
Dr. Kenneth A. Ethier Od Pc is an health care organization with primary practice located at 1525 10Th Ave S , Great Falls MT 59405-2608. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Dr. Kenneth A. Ethier Od Pc can be contacted via phone (406) 791-5139, or through Ethier, Kenneth A. via phone (406) 791-5139.

Contact Information

Primary practice address
1525 10Th Ave S Great Falls MT 59405-2608
Phone: (406) 791-5139
Fax: (406) 453-5701
Website:
Map and Directions
Authorized official contact:
Name: Ethier, Kenneth A. OD PC
Phone: (406) 791-5139

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 751 Montana

Profile Details

NPI number 1558719104
LBN Legal business name Dr. Kenneth A. Ethier Od Pc
DBA Doing business as
Authorized official Ethier, Kenneth A. OD PC
Entity Organization
Organization subpart 1 No
Enumeration date May 24th, 2016
Last updated Jun 10th, 2016 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558719104 NPPES
Montana MEDICAID 1114061256

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