Organization
THREE RIVERS EYE CARE CENTER, PC
Active
Organization
THREE RIVERS EYE CARE CENTER, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEORGE A STERN M.D. (PRESIDENT)
(406) 543-9200
Entity
Organization
Contact information
Practice address
1200 SOUTH RESERVE STREET, SUITE H, MISSOULA, MT 59801-3701
(406) 543-9200
(406) 543-9222
Mailing address
1200 SOUTH RESERVE STREET, SUITE H, MISSOULA, MT 59801-3701
(406) 543-9200
(406) 543-9222
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
8180
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0005120600
AETNA
MT
05
—
0035581
—
MT
05
—
0169507
—
MT
01
—
95001
BCBS
MT
Enumeration date
08/03/2006
Last updated
10/14/2009
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