Healthcare Provider Details

I. General information

NPI: 1619129111
Provider Name (Legal Business Name): MATTHEW BIWER OD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/15/2008
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 TaxonomyN
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number53
License Number StateVI
# 2
Primary TaxonomyN
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number5670
License Number StateMT
# 3
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number35801
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: