| NPI | 1982749362 |
|---|---|
| Former Legal Business Name | HAVRE OPTOMETRIC CLINIC |
| Entity Type | Organization |
| Authorized Contact | DOUGLAS A SAFLEY Partner 406-265-1231 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Additional Taxonomies | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2015-07-06 |