| NPI | 1558431148 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN EUGENE LINDE President 406-252-9927 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: MT 532) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: MT 665) |
| 152W00000X Optometrist (Licence: MT 781) | |
| 152W00000X Optometrist (Licence: MT 747) | |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2009-09-16 |