DR. BRETT GORDON MILDENBERGER (NPI# 1578755856) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578755856 |
| Entity Type | Individual |
| Full Name | DR. BRETT GORDON MILDENBERGER |
| Credential | O.D. |
| Practice Address |
473 Cayuse Trl Corvallis MT 59828-9259 |
| Mailing Address |
Po Box 1707 Hamilton MT 59840-1707 |
| Practice Telephone | 4063632873 |
| Mailing Telephone | 4063632873 |
| Enumeration Date | 2007-08-10 |
| Last Update Date | 2007-08-10 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | MT 521 | MT | Eye and Vision Services Providers |
| Street Address |
473 CAYUSE TRL |
| City | CORVALLIS |
| State | MT |
| Zip Code | 59828-9259 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356726111 | Kellie D Mildenberger | Social Worker | 473 Cayuse Trl, Corvallis, MT 59828-9259 | 2015-07-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891080529 | Corvallis Physical Therapy, PC | Clinic/Center | 1050 Eastside Hwy, Corvallis, MT 59828 | 2011-06-10 |
| 1568665651 | Linda Macy | Technician | 470 Clearview Drive, Corvallis, MT 59828 | 2007-06-07 |
| 1871617019 | David J. Charlton | Specialist/Technologist | 1020 Eastside Highway, Corvallis, MT 59828 | 2007-03-16 |
| 1104018639 | Carla R Albert | Physical Therapist | 1016 Brooks Ave, Corvallis, MT 59828 | 2007-08-17 |
| 1093870560 | Corvallis Drug Inc | Durable Medical Equipment & Medical Supplies | 1029 Main Street, Corvallis, MT 59828-0009 | 2006-12-26 |
| 1477592509 | John D Hutchison | Optometrist | 1031 Main Street, Corvallis, MT 59828-0911 | 2006-06-05 |
| 1720431729 | Madeline Grace Mussman | Family Medicine | 1037 Main St, Corvallis, MT 59828-9004 | 2016-07-14 |
| 1457405680 | Phyllis Jean Bookbinder | Counselor | 1135 Catherine Ln, Corvallis, MT 59828-9321 | 2007-01-23 |
| 1508875428 | Janie Marie Hett | Physical Medicine & Rehabilitation | 1016 Brooks Ave, Corvallis, MT 59828-9340 | 2006-08-07 |
| 1578187787 | Shannon Scott | Physical Therapist | 1016 Brooks Ave, Corvallis, MT 59828-9340 | 2020-06-03 |
| Find all providers in zip 59828 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| 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. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982956223 | Arige Nohad | Optometrist | 4629 Nw Acacia Dr, Corvallis, OR 97330-3198 | 2012-10-10 |
| 1609924968 | Michael D Klautzsch, Od, PC | Optometrist | 1597 Sw 53rd St, Corvallis, OR 97333-2630 | 2007-01-05 |
| 1417043845 | Tara Pyu Pyu Than Aye Solensky | Optometrist | 2647 Nw Lupine Pl, Corvallis, OR 97330-3537 | 2006-10-05 |
| 1922107283 | Melissa Kay Frost | Optometrist | 1329 Nw 9th St Ste 135, Corvallis, OR 97330-5386 | 2006-09-22 |
| 1649382821 | Jay Alex Seitz | Optometrist | 130 Sw 3rd St, Corvallis, OR 97333-4714 | 2006-08-31 |
| 1477592509 | John D Hutchison | Optometrist | 1031 Main Street, Corvallis, MT 59828-0911 | 2006-06-05 |
| 1982679114 | Eric H Knutson | Optometrist | 1505 Nw Harrison Blvd, Corvallis, OR 97330-5816 | 2006-02-21 |
| 1356341275 | Ed Charles Baer | Optometrist | 2117 Nw Fillmore Ave, Corvallis Eye Care, Corvallis, OR 97330-5624 | 2005-07-21 |
| 1679057913 | Jeanine M Duong | Optometrist | 1597 Sw 53rd St, Corvallis, OR 97333-2630 | 2018-09-22 |
| 1760937510 | Kelly Shannon | Optometrist | 1597 Sw 53rd St, Corvallis, OR 97333-2630 | 2016-08-22 |
| Find all providers in CORVALLIS | ||||
Please comment or provide details below to improve the information on DR. BRETT GORDON MILDENBERGER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.