Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Tanner Lightbourne, OD

Individual provider Optometrist · NPI 1164092425

Tanner Lightbourne, OD is an Optometry in Libby, Montana. Qualified in 2021, 5 years ago. Accepts Medicare assignment. Licensed in Montana.

Years since qualifying
5
Licensed in
MT
In the registry since
2021
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

610 California Ave
Libby, MT 59923-1902
Phone: (406) 293-6236
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 4229 (MT)

Record details

NPI number1164092425
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorNo
NPI enumeratedJune 29, 2021
Last updated in NPPESJuly 12, 2021
Certification dateJuly 12, 2021
Mailing address610 California Ave, Libby, MT 59923-1902

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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