First Light Optical, LLC

Primary specialty

OpticianTaxonomy code 156FX1800X

Legal business name

FIRST LIGHT OPTICAL, LLC

Practice address

3820 N 27TH Ave Ste 102
Bozeman, MT 59718-3234

Phone

(406) 577-7095

Fax

(406) 602-8699

NPI assigned

May 13, 2025

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kelli D Anderson

Title

Department Manager

Phone

(406) 577-7095

Specialties & licenses 1

Addresses

Other names 1

• First Light Optical Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1747094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747094400000",
    "number": "1023809753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3820 N 27TH AVE STE 102",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597183234",
            "telephone_number": "406-577-7095",
            "fax_number": "406-602-8699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3820 N 27TH AVE STE 102",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597183234",
            "telephone_number": "406-577-7095",
            "fax_number": "406-602-8699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST LIGHT OPTICAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-13",
        "last_updated": "2025-05-13",
        "certification_date": "2025-05-13",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "KELLI",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "DEPARTMENT MANAGER",
        "authorized_official_telephone_number": "406-577-7095"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "First Light Optical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Optician in Bozeman, MT
• Providers in Bozeman, MT by specialty
• Optician in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.