NPI | 1104857028 |
---|---|
Doing Business As | RONAN EYE CLINIC |
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 |