NPI | 1659433829 |
---|---|
Other Name | DOC'S EYEGLASS SHOP |
Entity Type | Organization |
Authorized Contact | JAMES E THREATT Owner 406-259-1280 |
Organization Subpart ? | No |
Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MT 4496) |
Enumeration Date | 2006-12-14 |
Last Update Date | 2010-02-22 |