Organization
ADVANCED EYECARE LLC
Active
Parent organization
ADVANCED EYECARE LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
ADVANCED EYECARE LLC
Authorized official
SONIA K BECKER (CREDENTIALING)
(406) 577-2507
Entity
Organization
Contact information
Practice address
4265 FALLON ST STE 1, BOZEMAN, MT 59718-6797
(406) 577-2507
(406) 587-0396
Mailing address
91 W MADISON AVE STE B, BELGRADE, MT 59714-3915
(406) 388-1988
(406) 388-2488
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0492
MT
332BC3200X
Customized Equipment (DME)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0481767
—
MT
Enumeration date
03/14/2008
Last updated
06/09/2021
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