NPI | 1316121627 |
---|---|
Doing Business As | EYES ON MAIN |
Entity Type | Organization |
Authorized Contact | JEFFREY C SQUIRE President 406-586-2173 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: MT 657) |
Enumeration Date | 2007-12-21 |
Last Update Date | 2023-03-07 |