Healthcare Provider Details

I. General information

NPI: 1689693566
Provider Name (Legal Business Name): MORLEDGE FAMILY EYE CLINIC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/19/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2520 17TH ST W
BILLINGS MT
59102-1738
US

IV. Provider business mailing address

2420 17TH ST W
BILLINGS MT
59102-2434
US

V. Phone/Fax

Practice location:
  • Phone: 406-672-1045
  • Fax:
Mailing address:
  • Phone: 406-672-1045
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM2500X
TaxonomyMedical Specialty Clinic/Center
License Number10586
License Number StateMT

VIII. Authorized Official

Name: DR. SCOTT JOSEPH MORLEDGE-HAMPTON
Title or Position: MEDICAL DIRECTOR
Credential: M.D.
Phone: 406-672-1044