IndividualActive
Cody Blom, O.D.
NPI 1265026033 · Optometrist · Butte, MT
Provider details
- NPI number
- 1265026033
- Entity type
- Individual
- Primary specialty
- OptometristEye and Vision Services Providers
- Credential
- O.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 3974 (MT)
Specialties & taxonomies
Eye and Vision Services Providers
Practice location
1221 Dewey Blvd
Butte, MT 59701-3413
Phone: (406) 494-2222
Approximate (ZIP-level) locationGet directions
Mailing address
2780 Tempest Ct
Bozeman, MT 59718-6109
Additional practice locations (2)
- 280 W Kagy BlvdBozeman, MT 59715-6056Phone: (406) 522-8888
- 270 W Kagy Blvd Ste BBozeman, MT 59715-6055Phone: (406) 404-1375
Registry dates
- Enumerated
- 2021-02-23
- Last updated
- 2021-02-23
- Certified
- 2021-02-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.