Individual
DR. JEFFREY C SQUIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1425 W MAIN ST, UNIT B, BOZEMAN, MT 59715-3283
(406) 586-2173
(406) 586-3603
Mailing address
1425 W MAIN ST, UNIT B, BOZEMAN, MT 59715-3283
(406) 586-2173
(406) 586-3603
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
248
NV
152W00000X
Optometrist
Primary
657
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000023861
BCBS
MT
05
—
0483752
—
MT
01
—
1316121627
GROUP NPI
—
Enumeration date
12/15/2006
Last updated
03/07/2023
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