Provider Demographics
NPI:1437585072
Name:COUCH, DEBBIE M (OPTICIAN)
Entity Type:Individual
Prefix:MRS
First Name:DEBBIE
Middle Name:M
Last Name:COUCH
Suffix:
Gender:F
Credentials:OPTICIAN
Other - Prefix:MRS
Other - First Name:DEBBIE
Other - Middle Name:M
Other - Last Name:COUCH
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:OPTICIAN
Mailing Address - Street 1:1212 GRAND AVE
Mailing Address - Street 2:
Mailing Address - City:BILLINGS
Mailing Address - State:MT
Mailing Address - Zip Code:59102-4259
Mailing Address - Country:US
Mailing Address - Phone:406-259-6786
Mailing Address - Fax:
Practice Address - Street 1:1212 GRAND AVE
Practice Address - Street 2:
Practice Address - City:BILLINGS
Practice Address - State:MT
Practice Address - Zip Code:59102-4259
Practice Address - Country:US
Practice Address - Phone:406-259-6786
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-09-15
Last Update Date:2013-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOptician