Jon C Kolstad Od, Pc

LBN: Jon C Kolstad Od, Pc
Jon C Kolstad Od, Pc is an health care organization with primary practice located at 630 3Rd Ave S , Glasgow MT 59230-2407. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Jon C Kolstad Od, Pc can be contacted via phone (406) 228-8641, or through Kolstad, Jon C via phone (406) 228-8641.

Contact Information

Primary practice address
630 3Rd Ave S Glasgow MT 59230-2407
Phone: (406) 228-8641
Fax: (406) 228-2094
Website:
Map and Directions
Authorized official contact:
Name: Kolstad, Jon C Doctor of Optometry (OD)
Phone: (406) 228-8641

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 616MT Montana

Profile Details

NPI number 1700136199
LBN Legal business name Jon C Kolstad Od, Pc
DBA Doing business as
Authorized official Kolstad, Jon C Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 13th, 2012
Last updated Apr 15th, 2014 - 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 1700136199 NPPES
Montana MEDICAID 1639361058

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