| Northwest Family Eye Care | |
|
610 California Ave, Libby, MT 59923-1902 | |
| (406) 293-6236 | |
| Not Available |
| Full Name | Northwest Family Eye Care |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 610 California Ave, Libby, Montana |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407520562 | NPI | - | NPPES |
| 1164092425 | Other | MT | PERSONAL NPI NUMBER |
| 4229 | Other | MT | OPTOMETRY LICENSE NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Primary |
| Provider Name | Tanner Lightbourne |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1164092425 PECOS PAC ID: 1759788045 Enrollment ID: I20210929002728 |
| Mailing Address | Practice Location Address |
|---|---|
| Northwest Family Eye Care 610 California Ave, Libby, MT 59923-1902 Ph: (406) 293-6236 | Northwest Family Eye Care 610 California Ave, Libby, MT 59923-1902 Ph: (406) 293-6236 |
Tanner Lightbourne, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 610 California Ave, Libby, MT 59923 Phone: 406-293-6236 | |
Dr. Terry C. Patrick, O.d. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 610 California Ave, Libby, MT 59923 Phone: 406-293-6236 Fax: 406-293-6237 | |
Kootenai Vision Centers Pc Optometrist Medicare: Medicare Enrolled Practice Location: 422 Louisiana Ave, Libby, MT 59923 Phone: 406-293-4136 Fax: 406-293-2033 | |
Dr. Terry Clark Patrick, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 610 California Ave, Libby, MT 59923 Phone: 406-293-6236 | |
Dr. Steven L Sorensen, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 422 Louisiana Ave, Libby, MT 59923 Phone: 406-293-4136 Fax: 406-293-2033 |