| NPI | 1841461563 |
|---|---|
| Doing Business As | GLENDIVE EYECARE |
| Entity Type | Organization |
| Authorized Contact | GARY D JACOBSEN President 406-365-8231 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: MT 453) |
| Enumeration Date | 2008-03-20 |
| Last Update Date | 2010-07-15 |