IndividualActive
Levi Black, OD
NPI 1831768779 · Optometrist · Ronan, MT
Provider details
- NPI number
- 1831768779
- Entity type
- Individual
- Primary specialty
- OptometristEye and Vision Services Providers
- Credential
- OD
- Sex
- Male
- Sole proprietor
- No
- License
- OPT-OPT-LIC-4214 (MT)
Specialties & taxonomies
Eye and Vision Services Providers
Practice location
417 Main St Sw
Ronan, MT 59864-2738
Phone: (406) 676-3937
Approximate (ZIP-level) locationGet directions
Mailing address
417 Main St Sw
Ronan, MT 59864-2738
Registry dates
- Enumerated
- 2021-06-24
- Last updated
- 2021-06-24
- Certified
- 2021-05-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.