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 747) | |
152W00000X Optometrist (Licence: MT 781) | |
Enumeration Date | 2006-11-09 |
Last Update Date | 2009-09-16 |