Organization
DR. KENNETH A. ETHIER OD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH A. ETHIER OD PC (OPTOMETRIST)
(406) 791-5139
Entity
Organization
Contact information
Practice address
1525 10TH AVE S, GREAT FALLS, MT 59405-2608
(406) 791-5139
(406) 453-5701
Mailing address
1525 10TH AVE S, GREAT FALLS, MT 59405-2608
(406) 791-5139
(406) 453-5701
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
751
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1114061256
—
MT
Enumeration date
05/24/2016
Last updated
10/27/2025
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