Organization
DUSTIN OPTICAL INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES DUSTIN (PRESIDENT)
(406) 453-3662
Entity
Organization
Contact information
Practice address
2800 11TH AVE S STE 19, GREAT FALLS, MT 59405-5263
(406) 453-3662
Mailing address
2800 11TH AVE S STE 19, GREAT FALLS, MT 59405-5263
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
332H00000X
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
29791
BLUE CROSS BLUE SHIELD
MT
Enumeration date
03/14/2007
Last updated
08/22/2020
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