Organization
SIDNEY EYE CARE PLLC
Active
Other names
Dr Kristin OBrien
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KRISTIN OBRIEN OD (OWNER)
(406) 482-2609
Entity
Organization
Contact information
Practice address
112 2ND ST SE, SIDNEY, MT 59270-4104
(406) 482-2609
(406) 482-2697
Mailing address
PO BOX 1008, SIDNEY, MT 59270-1008
(406) 482-2609
(406) 482-2697
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
813
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1750638219
—
MT
01
—
4064822609
VSP
MT
01
—
6802110001
MEDICARE DMEPOS
MT
01
—
893290
NORTH DAKOTA VISION
MT
01
—
MT26073
BCBS
MT
01
—
P00868264
RAILROAD MEDICARE
MT
Enumeration date
08/14/2012
Last updated
09/25/2013
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