MEDICARE: DESTINY DAWN ZIELIE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	156FX1202X	Optometric Technician		MT

General Provider Information

NPI Number	:	1720930647
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DESTINY DAWN ZIELIE

Provider Business Mailing Address
First Line	:	1701 GRAND AVE # 2
Second Line	:
City	:	BILLINGS
State	:	MT
Zip	:	59102-2937
Country	:	US
Telephone Number	:	406-656-9857
Fax Number	:	406-656-4063

Provider Business Practice Location Address
First Line	:	1701 GRAND AVE # 2
Second Line	:
City	:	BILLINGS
State	:	MT
Zip	:	59102-2937
Country	:	US
Telephone Number	:	406-656-9857
Fax Number	:	406-656-4063

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/12/2026
Last Update Date	:	02/12/2026

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Directions to “ DESTINY DAWN ZIELIE ” Practice Location

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