| |
6216 Main St, Colstrip, MT 59323-1924 | |
(406) 748-3290 | |
(406) 748-3301 |
Full Name | |
---|---|
Type | Facility |
Speciality | Optometrist |
Location | 6216 Main St, Colstrip, Montana |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1831215862 | NPI | - | NPPES |
0482807 | Medicaid | MT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 372 (Montana) | Primary |
Mailing Address | Practice Location Address |
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Po Box 1924, Colstrip, MT 59323-1924 Ph: (406) 748-3290 | 6216 Main St, Colstrip, MT 59323-1924 Ph: (406) 748-3290 |