DR. OD Kimberly Lynn Lust Rueb, NPI 1508207176
Optometrist in Great Falls, MT, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1508207176
NPI Entity Type Individual
Provider Name DR. OD Kimberly Lynn Lust Rueb
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Certification Date September 30, 2009
Provider Location Address 1621 Market Place Dr, Great Falls, MT, US
Provider Mailing Address Po Box 1506, Chehalis, WA, US, 985320409
Gender Female
Is Sole Proprietor? No
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Primary Taxonomy

Taxonomy Code

152W00000X

Taxonomy Name Optometrist
Classification

Optometrist

Group

Eye and Vision Services Providers

License No. OPT-OPT-LIC-2223
License State MT
Description Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

Other Name

Kimberly Lynn Lust
Former Name

Business Address

DR. OD Kimberly Lynn Lust Rueb
1621 Market Place Dr

Great Falls, MT, US

Phone: 406-454-2202
Fax: 406-452-1020

Mailing Address

DR. OD Kimberly Lynn Lust Rueb
Po Box 1506
Chehalis, WA, US
ZIP 985320409
Phone: 360-242-3008
Fax: 360-807-7687

Secondary Taxonomies

Taxonomy Code Group Classification License No. State Primary?

152W00000X

Eye and Vision Services Providers

Optometrist

OD60373324 WA No

152W00000X

Eye and Vision Services Providers

Optometrist

ODP-100315 ID No

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
1508207176 ID MEDICAID 05
2038492 WA MEDICAID 05
1508207176 MT MEDICAID 05
1508207176 OR MEDICAID 05

Health Information Exchange

Endpoint Type Endpoint Description Use Content Type Affiliation Location
DIRECT [email protected] No 1621 Market Place Dr, Great Falls, MT, US

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