| NPI | 1033489877 |
|---|---|
| Other Name | PONDERA MEDICAL CENTER OPTOMETRY |
| Entity Type | Organization |
| Authorized Contact | WAYNE OGBURN CEO 406-271-3211 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: MT 820) |
| Enumeration Date | 2012-01-11 |
| Last Update Date | 2013-07-25 |