| NPI | 1437354834 |
|---|---|
| Doing Business As | YELLOWSTONE EYE CARE |
| Entity Type | Organization |
| Authorized Contact | SHAWN LEBSOCK O PT Ometrist/Owner 406-656-7605 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Additional Taxonomies | 332H00000X Eyewear Supplier (Licence: MT MT 505 AND MT 436) |
| Enumeration Date | 2007-06-18 |
| Last Update Date | 2024-03-19 |