| NPI | 1235381401 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EVA BUKER Optometrist/Owner 406-253-0086 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: MT 639) |
| Additional Taxonomies | 261Q00000X (Licence: MT 639 OPT) |
| Enumeration Date | 2008-10-19 |
| Last Update Date | 2009-08-31 |