| Larry Bonderud & Mark Stanchfield Optometrists | |
|
19 4th Ave Sw, Conrad, MT 59425-2339 | |
| (406) 271-5517 | |
| (406) 271-5518 |
| Full Name | Larry Bonderud & Mark Stanchfield Optometrists |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 19 4th Ave Sw, Conrad, Montana |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295850535 | NPI | - | NPPES |
| 0482261 | Medicaid | MT | |
| 0481491 | Medicaid | MT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 393 (Montana) | Secondary |
| 152W00000X | Optometrist | 516 (Montana) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Larry Bonderud & Mark Stanchfield Optometrists Po Box 815, Conrad, MT 59425-0815 Ph: (406) 271-5517 | Larry Bonderud & Mark Stanchfield Optometrists 19 4th Ave Sw, Conrad, MT 59425-2339 Ph: (406) 271-5517 |
Pondera Medical Center O Optometrist Medicare: Not Enrolled in Medicare Practice Location: 403 S Delaware St, Conrad, MT 59425 Phone: 406-278-5331 | |
Pondera Medical Center Eye Clinic Pllc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 403 S Delaware St, Conrad, MT 59425 Phone: 406-278-5331 | |
John E Taylor O.d. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 403 S Delaware St, Conrad, MT 59425 Phone: 406-278-5331 Fax: 406-278-7379 | |
Dr. John E Taylor, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 403 S Delaware St, Conrad, MT 59425 Phone: 406-278-5331 Fax: 406-278-7379 | |
Larry J. Bonderud, Od Optometrist Medicare: Not Enrolled in Medicare Practice Location: 19 4th Ave Sw, Conrad, MT 59425 Phone: 406-271-5517 Fax: 406-271-5518 |