Individual
JESSE SHANE STANDISH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
2750 PROSPECT AVE, HELENA, MT 59601-9741
(406) 495-8591
(406) 495-8605
Mailing address
2750 PROSPECT AVE, HELENA, MT 59601-9741
(406) 495-8591
(406) 495-8605
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
713
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0483021
—
MT
Enumeration date
08/31/2006
Last updated
07/21/2022
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