Individual
LARRY G OBIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
419 PENNSYLVANIA ST, CHINOOK, MT 59523
(406) 357-3740
(406) 357-3640
Mailing address
PO BOX 1569, CHINOOK, MT 59523-1569
(406) 357-3740
(406) 357-3640
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
423
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0488605
—
MT
01
—
27220
BLUE CROSS/BLUE SHIELD
MT
01
—
810378264
HUMANA
MT
Enumeration date
02/02/2006
Last updated
07/16/2018
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