| NPI | 1104857028 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARNT JAMES OFSTAD Owner/Doctor 406-676-8921 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: MT 381OPT) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MT 381OPT) |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2008-08-15 |