Provider Demographics
NPI:1982906194
Name:POPE, KRISTIN RENEE (OD)
Entity type:Individual
Prefix:MRS
First Name:KRISTIN
Middle Name:RENEE
Last Name:POPE
Suffix:
Gender:F
Credentials:OD
Other - Prefix:MISS
Other - First Name:KRISTIN
Other - Middle Name:RENEE
Other - Last Name:SCOTT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OPTOMETRIST
Mailing Address - Street 1:111 S 24TH ST W STE 1
Mailing Address - Street 2:STE 1
Mailing Address - City:BILLINGS
Mailing Address - State:MT
Mailing Address - Zip Code:59102
Mailing Address - Country:US
Mailing Address - Phone:406-530-8886
Mailing Address - Fax:406-530-8886
Practice Address - Street 1:111 S 24TH ST W
Practice Address - Street 2:STE 1
Practice Address - City:BILLINGS
Practice Address - State:MT
Practice Address - Zip Code:59102
Practice Address - Country:US
Practice Address - Phone:406-530-8886
Practice Address - Fax:406-530-8886
Is Sole Proprietor?:No
Enumeration Date:2010-11-19
Last Update Date:2025-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MTOPT-OPT-LIC-4265152W00000X, 207W00000X
MT821152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZZ163098Medicare PIN
AZZ162074Medicare PIN
AZZ162075Medicare PIN