Healthcare Provider Details

I. General information

NPI: 1487800017
Provider Name (Legal Business Name): KRISTIN L O'BRIEN O.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KRISTIN L HLEBECHUK O.D.

II. Dates (important events)

Enumeration Date: 08/14/2008
Last Update Date: 06/18/2026
Certification Date: 06/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

124 S CENTRAL AVE
SIDNEY MT
59270-4124
US

IV. Provider business mailing address

124 S CENTRAL AVE
SIDNEY MT
59270-4124
US

V. Phone/Fax

Practice location:
  • Phone: 406-482-2609
  • Fax: 406-482-2697
Mailing address:
  • Phone: 406-482-2609
  • Fax: 406-482-2697

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number813
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: