NPI | 1053683037 |
---|---|
Doing Business As | BRIDGER EYECARE |
Entity Type | Organization |
Authorized Contact | CARL J ROTH Od/President 406-587-2020 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist |
Additional Taxonomies | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: MT 675) |
Enumeration Date | 2012-02-06 |
Last Update Date | 2022-03-10 |