| NPI | 1588959613 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARL A SWANSON O PT Ometrist 406-761-2211 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: MT T89265) |
| Enumeration Date | 2011-06-16 |
| Last Update Date | 2011-06-16 |