Midtown Optometry PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

1527 Issued in MT

Legal business name

MIDTOWN OPTOMETRY PLLC

Practice address

36318 Memory LN
Polson, MT 59860-7265

Phone

(406) 883-2173

NPI assigned

Nov 17, 2015

Organization subpart

No

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

Authorized official

Name

Malgorzata Podraza, OD

Title

Optometrist

Phone

(406) 883-2173

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1447718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447718400000",
    "number": "1194199950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36318 MEMORY LN",
            "city": "POLSON",
            "state": "MT",
            "postal_code": "598607265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36318 MEMORY LN",
            "city": "POLSON",
            "state": "MT",
            "postal_code": "598607265",
            "telephone_number": "406-883-2173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDTOWN OPTOMETRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-17",
        "last_updated": "2015-11-17",
        "status": "A",
        "authorized_official_last_name": "PODRAZA",
        "authorized_official_first_name": "MALGORZATA",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "406-883-2173",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MT",
            "license": "1527",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Optometrist in Polson, MT
• Providers in Polson, MT by specialty
• Optometrist in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2015; 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.