Organization
MEDICAL EYE SPECIALISTS PC
Active
Organization
MEDICAL EYE SPECIALISTS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANE RAE ALLISON (PRACTICE ADMINISTRATOR)
(406) 587-1245
Entity
Organization
Contact information
Practice address
3820 N 27TH AVE, SUITE 100, BOZEMAN, MT 59718-5971
(406) 587-1245
Mailing address
3820 N 27TH AVE, STE 100, BOZEMAN, MT 59718-3551
(406) 587-1245
(406) 587-1092
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CS2449
RAILROAD MEDICARE
—
Enumeration date
10/20/2005
Last updated
05/20/2024
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