| NPI | 1306194519 |
|---|---|
| Doing Business As | FANT EYE CARE |
| Entity Type | Organization |
| Authorized Contact | JUAN EVENOR GALDAMEZ Optometrist/Owner 406-439-1155 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Enumeration Date | 2012-08-17 |
| Last Update Date | 2012-08-17 |