Neil Kawaguchi, OD | |
3075 N Reserve St, Missoula, MT 59808-1389 | |
(406) 721-4646 | |
Not Available |
Full Name | Neil Kawaguchi |
---|---|
Gender | Male |
Speciality | Optometrist |
Location | 3075 N Reserve St, Missoula, Montana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1407532542 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | OPT-OPT-LIC-4849 (Montana) | Primary |
Provider Name | Shoptikal Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1417513896 PECOS PAC ID: 1456684471 Enrollment ID: O20190617001368 |
Mailing Address | Practice Location Address |
---|---|
Neil Kawaguchi, OD 11065 Cherokee Ln, Lolo, MT 59847-9683 Ph: (509) 308-1311 | Neil Kawaguchi, OD 3075 N Reserve St, Missoula, MT 59808-1389 Ph: (406) 721-4646 |
Mark Wayne Mutter Ii, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 700 W Kent Ave, Missoula, MT 59801 Phone: 406-541-3937 Fax: 406-541-3811 | |
Thomas R Ferguson, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2510 S Reserve St, Missoula, MT 59801 Phone: 406-721-5925 Fax: 406-721-3859 | |
Ty William Felton, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2230 N Reserve St Ste 330, Missoula, MT 59808 Phone: 406-309-6633 Fax: 406-309-6644 | |
Peak Eye Care Missoula, Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 3220 N Reserve St, Missoula, MT 59808 Phone: 406-218-2730 Fax: 406-218-2731 | |
Dr. Kellie Marie Hadnot, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2106 Oxford St, Missoula, MT 59801 Phone: 406-549-2541 | |
Dr. Heidi Gail Brott, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 4000 Us Highway 93 S, Missoula, MT 59804 Phone: 406-251-3679 Fax: 406-251-3715 | |
Shopko Optical 075 Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2510 S Reserve St, Missoula, MT 59801 Phone: 406-721-4646 |