| NPI | 1972671931 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS G BERBOS Owner 406-442-3937 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Additional Taxonomies | 152W00000X Optometrist |
| 261Q00000X Clinic/Center | |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2024-10-17 |