Individual
RICHARD F. STANICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
801 N 29TH ST, BILLINGS, MT 59101-0905
(406) 238-2500
Mailing address
PO BOX 35100, BILLINGS, MT 59107-5100
(406) 238-2500
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
469OPT
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000025951
BCBS PIN
MT
01
—
0480930
MDCD PIN
MT
01
—
109885300
MDCD PIN
WY
Enumeration date
01/08/2007
Last updated
12/15/2014
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