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General NPI Number Information
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NPI Number | 1275426025
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Entity Type | Organization
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Legal Business Name | WELLFORD EYE CENTER PLLC
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Dates
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Enumeration Date | 05/30/2025
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Last Update Date | 05/30/2025
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Provider Practice Location Address
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Address Line | 1425 W MAIN ST UNIT B
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City | BOZEMAN
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State | MT
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Zip | 59715-3283
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Country | US
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Telephone | 406-586-2173
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Fax |
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Provider Business Mailing Address
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Address Line | 1425 W MAIN ST UNIT B
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City | BOZEMAN
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State | MT
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Zip | 59715-3283
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Country | US
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Telephone | 406-586-2173
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Fax |
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Authorized Official
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Title or Position | OWNER/OPTOMETRIST
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Name | DR. CORBIN WELLFORD
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Credential | OD
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Telephone | 262-844-9736
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number |
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License Number State |
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