Tanner Lightbourne, OD

Optometrist · Libby, MT

Individual Active NPI

NPI number 1164092425

Practice location

610 California Ave
Libby, MT 59923-1902
Phone
(406) 293-6236

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NPI record

NPI
1164092425
Entity type
Individual (Type 1)
Enumeration date
June 29, 2021
Last updated
July 12, 2021
Certified
July 12, 2021
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Optometrist Primary 152W00000X 4229 MT

About Dr. Lightbourne

Tanner Lightbourne, OD is a healthcare provider registered in the NPI registry with the primary taxonomy Optometrist (code 152W00000X). The practice location is 610 California Ave, Libby, MT 59923-1902. The NPI number 1164092425 was assigned on June 29, 2021 and the record was last updated on July 12, 2021.

Dr. Lightbourne lists a license in the registry: #4229 (MT) for Optometrist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Tanner Lightbourne, OD?

The NPI number is 1164092425.

What is the phone number of Dr. Lightbourne?

The phone number listed for the practice location is (406) 293-6236.

Where is Dr. Lightbourne located?

610 California Ave, Libby, MT 59923-1902.

What is the taxonomy code for Dr. Lightbourne?

The primary taxonomy code is 152W00000X – Optometrist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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