Provider Demographics
NPI:1083644397
Name:ARNT JAMES OFSTAD, P.C.
Entity Type:Organization
Organization Name:ARNT JAMES OFSTAD, P.C.
Other - Org Name:RONAN EYE CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/DOCTOR
Authorized Official - Prefix:
Authorized Official - First Name:ARNT
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:OFSTAD
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:406-676-8921
Mailing Address - Street 1:417 MAIN ST SW
Mailing Address - Street 2:
Mailing Address - City:RONAN
Mailing Address - State:MT
Mailing Address - Zip Code:59864-2738
Mailing Address - Country:US
Mailing Address - Phone:406-676-8921
Mailing Address - Fax:406-676-3938
Practice Address - Street 1:417 MAIN ST SW
Practice Address - Street 2:
Practice Address - City:RONAN
Practice Address - State:MT
Practice Address - Zip Code:59864-2738
Practice Address - Country:US
Practice Address - Phone:406-676-8921
Practice Address - Fax:406-676-3938
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-03
Last Update Date:2008-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT381152W00000X
MT381OPT332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
No332B00000XSuppliersDurable Medical Equipment & Medical SuppliesGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MT1104857028OtherCLINIC NPI
MT0632920001OtherDMERC
MT0489268Medicaid
MT=========000OtherINDIAN HEALTH SERVICE
MTT89243Medicare UPIN