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General NPI Number Information
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NPI Number | 1588725626
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Entity Type | Individual
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Provider Name | BETH HORNER O. D.
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Gender | Female
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Dates
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Enumeration Date | 12/13/2006
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Last Update Date | 05/19/2023
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Provider Practice Location Address
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Address Line | 2330 US HIGHWAY 93 N
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City | KALISPELL
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State | MT
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Zip | 59901-2547
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Country | US
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Telephone | 406-758-2503
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1017
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City | BIGFORK
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State | MT
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Zip | 59911-1017
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 714
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License Number State | MT
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