| NPI | 1366654840 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VERNON PAUL KINGSTON Optician 406-723-5223 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2020-08-22 |