Provider Demographics
NPI:1669531224
Name:SATHER, THOMAS CHRISTIAN (OD)
Entity type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:CHRISTIAN
Last Name:SATHER
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1007 W COLLEGE ST
Mailing Address - Street 2:
Mailing Address - City:BOZEMAN
Mailing Address - State:MT
Mailing Address - Zip Code:59715-5064
Mailing Address - Country:US
Mailing Address - Phone:406-587-9610
Mailing Address - Fax:406-587-0725
Practice Address - Street 1:1007 W COLLEGE ST
Practice Address - Street 2:
Practice Address - City:BOZEMAN
Practice Address - State:MT
Practice Address - Zip Code:59715-5064
Practice Address - Country:US
Practice Address - Phone:406-587-9610
Practice Address - Fax:406-587-0725
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT439152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MT0484874Medicaid
MT26690OtherBLUE CROSS BLUE SHIELD
MT0484874Medicaid