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NPI Code Detail

MEDICARE: C. CRANDELL OPTOMETRY, P.C.

MEDICARE: C. CRANDELL OPTOMETRY, P.C.
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
1152W00000XOptometrist

General Provider Information

NPI Number : 1861069031
Entity Type Code : Organization
Provider Name (Legal Business Name) : C. CRANDELL OPTOMETRY, P.C.
Provider Business Mailing Address
First Line : PO BOX 9626
Second Line :
City : KALISPELL
State : MT
Zip : 59904-2626
Country : US
Telephone Number : 406-309-0236
Fax Number :
Provider Business Practice Location Address
First Line : 345 CASCADE LOOP
Second Line :
City : KALISPELL
State : MT
Zip : 59901-9581
Country : US
Telephone Number : 406-609-4939
Fax Number : 406-609-4940
Authorized Official
Title or Position : OPTOMETRIST
Name : CHELSEA CRANDELL
Credential : OD
Telephone Number : 406-309-0236
Provider Enumeration Date : 06/07/2021
Last Update Date : 04/14/2026

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Directions to “C. CRANDELL OPTOMETRY, P.C. ” Practice Location

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