Healthcare Provider Details

I. General information

NPI: 1982906194
Provider Name (Legal Business Name): KRISTIN RENEE POPE O.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KRISTIN RENEE SCOTT OPTOMETRIST

II. Dates (important events)

Enumeration Date: 11/19/2010
Last Update Date: 01/29/2025
Certification Date: 11/18/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

111 S 24TH ST W STE 1
BILLINGS MT
59102
US

IV. Provider business mailing address

111 S 24TH ST W STE 1 STE 1
BILLINGS MT
59102
US

V. Phone/Fax

Practice location:
  • Phone: 406-530-8886
  • Fax: 406-530-8886
Mailing address:
  • Phone: 406-530-8886
  • Fax: 406-530-8886

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License NumberOPT-OPT-LIC-4265
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: