Organization
BIG SKY OPTICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. VERNON PAUL KINGSTON I (OPTICIAN)
(406) 723-5223
Entity
Organization
Contact information
Practice address
14 SOUTH MONTANA, BUTTE, MT 59701-0000
(406) 723-5223
(406) 723-4542
Mailing address
14 SOUTH MONTANA, BUTTE, MT 59701-0000
(406) 723-5223
(406) 723-4542
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0555854
—
MT
Enumeration date
05/04/2007
Last updated
08/22/2020
Update your record
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