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Organization
LAGRECA EYE CLINIC PC
Active
Organization
LAGRECA EYE CLINIC PC
Active
Other names
The Eye Clinic Surgicenter LaGreca Eye Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN A LAGRECA MD (MEDICAL DIRECTOR PRESIDENT)
(406) 252-6608
Entity
Organization
Contact information
Practice address
2475 VILLAGE LN, SUITE 202, BILLINGS, MT 59102-2497
(406) 252-6608
(406) 252-6600
Mailing address
2475 VILLAGE LN, SUITE 202, BILLINGS, MT 59102-2497
(406) 252-6608
(406) 252-6600
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
—
—
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
10825
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000099920
BCBS
MT
01
—
000060752
BCBS
MT
05
—
0351254
—
MT
01
—
104306400
WORKERS COMP REG
—
01
—
105765101
WORKERS COMP FIC
—
01
—
311773
BCBS
WY
01
—
311774
BCBS
WY
01
—
490005544
RAILROAD MEDICARE
MT
Enumeration date
07/31/2006
Last updated
12/29/2011
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