Healthcare Provider Details

I. General information

NPI: 1720930647
Provider Name (Legal Business Name): DESTINY DAWN ZIELIE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/12/2026
Last Update Date: 03/13/2026
Certification Date: 03/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1701 GRAND AVE # 2
BILLINGS MT
59102-2937
US

IV. Provider business mailing address

1701 GRAND AVE # 2
BILLINGS MT
59102-2937
US

V. Phone/Fax

Practice location:
  • Phone: 406-656-9857
  • Fax: 406-656-4063
Mailing address:
  • Phone: 406-656-9857
  • Fax: 406-656-4063

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code156FX1800X
TaxonomyOptician
License Number
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: