Organization
MILES CITY VISION CLINIC P C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT DEAN LUNDE O D (OWNER)
(406) 234-7426
Entity
Organization
Contact information
Practice address
1909 MAIN ST, MILES CITY, MT 59301-3724
(406) 234-7426
(406) 234-7005
Mailing address
1909 MAIN ST, MILES CITY, MT 59301-3724
(406) 234-7426
(406) 234-7005
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
500
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0481039
—
MT
05
—
0481546
—
MT
05
—
0482807
—
MT
Enumeration date
11/06/2006
Last updated
02/17/2012
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