Kalispell Optometry PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

KALISPELL OPTOMETRY PLLC

Practice address

170 Hutton Ranch Rd
Kalispell, MT 59901-2107

Phone

(406) 257-6803

NPI assigned

Sep 11, 2018

Organization subpart

No

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

Authorized official

Name

Malgorzata PodrazaNPI 1659626885

Title

Owner

Phone

(406) 257-6803

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Malgorzata Podraza, O.D.

  • Optometrist
  • Polson, MT
  • NPI 1659626885
  NPD Authorized official

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

{
    "created_epoch": "1536624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1536624000000",
    "number": "1952884355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 HUTTON RANCH RD",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599012107",
            "telephone_number": "406-257-6803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 HUTTON RANCH RD",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599012107",
            "telephone_number": "406-257-6803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KALISPELL OPTOMETRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-11",
        "last_updated": "2018-09-11",
        "status": "A",
        "authorized_official_last_name": "PODRAZA",
        "authorized_official_first_name": "MALGORZATA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "406-257-6803"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NONE",
            "identifier": "NONE",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kalispell Kidds
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• Kalispell Midwives & Womens Health Inc
• Kalispell Obstetrics & Gynecology PLLC
• Kalispell Oral Surgery Center LLC
• Kalispell Public Schools
• Kalispell Reginal Medical Center
• Kalispell Regional Healthcare
• Kalispell Regional Med Center Inc

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2018; 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.