| NPI | 1568830685 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELITA LYNETTE SCHAEFER Owner/Optician 406-552-1299 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: MT 2015mssgen00229) |
| Enumeration Date | 2015-09-05 |
| Last Update Date | 2015-09-05 |