Individual
TODD ERICKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
340 W CENTER ST, SUITE B, KALISPELL, MT 59901-4032
(406) 755-5171
(406) 755-5182
Mailing address
340 W CENTER ST, SUITE B, KALISPELL, MT 59901-4032
(406) 755-5171
(406) 755-5182
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
593
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
048-3769
—
MT
Enumeration date
12/20/2006
Last updated
07/08/2007
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