| Southern Montana Optometric Center, Inc | |
|
210 1st Ave, Laurel, MT 59044-3014 | |
| (406) 628-8668 | |
| (406) 628-8668 |
| Full Name | Southern Montana Optometric Center, Inc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 210 1st Ave, Laurel, Montana |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619017928 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 523 (Montana) | Primary |
| Provider Name | Ronald L Benner |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1710037437 PECOS PAC ID: 9931191384 Enrollment ID: I20111115000129 |
| Mailing Address | Practice Location Address |
|---|---|
| Southern Montana Optometric Center, Inc Po Box 190, Laurel, MT 59044-0190 Ph: (406) 628-8668 | Southern Montana Optometric Center, Inc 210 1st Ave, Laurel, MT 59044-3014 Ph: (406) 628-8668 |
Total Eyecare P.c. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 101 Bernhardt Rd, Laurel, MT 59044 Phone: 406-628-1767 Fax: 406-628-1769 | |
Dr. Kayla Ashley Stewart, O.D., M.ED. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 101 Bernhardt Rd, Laurel, MT 59044 Phone: 406-628-1767 Fax: 406-628-1769 | |
Dr. Gary A. White, Optometrist, Pc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 101 Bernhardt Rd, Laurel, MT 59044 Phone: 406-628-1767 Fax: 406-628-1739 | |
Dr. Ronald Lee Benner, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 210 1st Ave, Laurel, MT 59044 Phone: 406-628-8668 Fax: 406-628-8668 |