Provider Demographics
NPI:1104486075
Name:STEINBEISSER, SADIE ANN (OD)
Entity type:Individual
Prefix:
First Name:SADIE
Middle Name:ANN
Last Name:STEINBEISSER
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:34629 COUNTY ROAD 120
Mailing Address - Street 2:
Mailing Address - City:SIDNEY
Mailing Address - State:MT
Mailing Address - Zip Code:59270-6368
Mailing Address - Country:US
Mailing Address - Phone:406-489-0639
Mailing Address - Fax:
Practice Address - Street 1:2499 GABEL RD
Practice Address - Street 2:
Practice Address - City:BILLINGS
Practice Address - State:MT
Practice Address - Zip Code:59102-7349
Practice Address - Country:US
Practice Address - Phone:406-652-9339
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-06-13
Last Update Date:2019-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MTOPT-OPT-LIC-3668152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty