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Contact Information

EYE CLINIC OF GREAT FALLS, PC
1516 CHOUTEAU STREET
FORT BENTON, MT59442
 Phone: 406-622-5449
 Fax: 406-622-6188
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for EYE CLINIC OF GREAT FALLS PC · (Female)

NPI Number 1538209390
Status Active
Credentials
Entity Individual
Enumeration date 02/08/2007
Last updated 10/12/2007 - About 19 years ago
Sole proprietor 1 Not specified
Identifiers
  • MT Medicaid 0483730
  • MT Other 25781 BLUE CROSS BLUE SHIELD
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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