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NPI Code Detail

MEDICARE: BART A. LOTTON O.D.

MEDICARE:   BART A. LOTTON  O.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1152W00000XOptometrist712MT

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1336136886
Entity Type Code : Individual
Provider Name (Legal Business Name) : BART A. LOTTON O.D.
Provider Business Mailing Address
First Line : 1649 MAIN ST
Second Line :
City : BILLINGS
State : MT
Zip : 59105-4043
Country : US
Telephone Number : 406-254-6514
Fax Number :
Provider Business Practice Location Address
First Line : 1649 MAIN ST
Second Line :
City : BILLINGS
State : MT
Zip : 59105-4043
Country : US
Telephone Number : 406-254-6514
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/30/2005
Last Update Date : 07/08/2007

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Directions to “ BART A. LOTTON O.D.” Practice Location

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