OPTICAL SHOP OF KALISPELL; NPI #1053564658

Contact Information

OPTICAL SHOP OF KALISPELL

35 MAIN ST STE B
KALISPELL, MT 59901-4448

Phone: 406-755-9001
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Eyewear Supplier	332H00000X	87	All Other Suppliers

Indicates primary specialty

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NPI Profile & details for OPTICAL SHOP OF KALISPELL

NPI # 1053564658

LBN Legal business name OPTICAL SHOP OF KALISPELL

Authorized official MICHAEL MATOLA - (OWNER)

Entity Organization

Organization subpart ¹ No

Enumeration date 10/28/2008

Last updated 10/28/2008 - About 18 years ago

Identifiers

License #

C187758-906105

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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OPTICAL SHOP OF KALISPELL

Contact Information

Specialty

Eyewear Supplier

NPI Profile & details for OPTICAL SHOP OF KALISPELL

Reviews for OPTICAL SHOP OF KALISPELL