Organization
MONTANA FAMILY VISION CARE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS D HALL O.D. (OWNER)
(406) 542-6382
Entity
Organization
Contact information
Practice address
2829 GREAT NORTHERN LOOP, SUITE 100, MISSOULA, MT 59808-1752
(406) 542-6382
(406) 542-4773
Mailing address
2829 GREAT NORTHERN LOOP, SUITE 100, MISSOULA, MT 59808-1752
(406) 542-6382
(406) 542-4773
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
671
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0481423
—
MT
Enumeration date
12/06/2007
Last updated
08/23/2010
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