Individual
DR. ROBERT WAYNE KAUTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
111 S 24TH ST W STE 1, BILLINGS, MT 59102-5659
(406) 248-1676
(440) 624-5354
Mailing address
111 S 24TH ST W STE 1, PO BOX 20316, BILLINGS, MT 59102-5659
(406) 248-1676
(406) 245-3543
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
596
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0480488
—
MT
01
—
1219700001
CIGNA MEDICARE
MT
01
—
25971
BCBS MT
MT
01
—
410036137
RR MEDICARE
MT
01
—
8999
BCBS FEDERAL
MT
Enumeration date
01/25/2006
Last updated
03/11/2011
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