Organization
WALMAN OPTICAL COMPANY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRYAN SCHUELER (VICE PRESIDENT AND GENERAL MANAGER)
(612) 520-6000
Entity
Organization
Contact information
Practice address
1245 S 3RD ST W, MISSOULA, MT 59801-2333
(406) 549-6429
(800) 551-3335
Mailing address
1245 S 3RD ST W, MISSOULA, MT 59801-2333
(406) 549-6429
(800) 551-3335
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000029765
DEPT OF CORRECTIONS #
MT
05
—
0550095
—
MT
01
—
5520008
CHIP PROVIDER NUMBER
MT
Enumeration date
03/16/2007
Last updated
08/17/2016
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