Organization
BAKER OPTICIANS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLI D ANDERSON ABOC (MANAGER)
(406) 586-4701
Entity
Organization
Contact information
Practice address
300 N WILLSON AVE, #201-B, BOZEMAN, MT 59715-3551
(406) 586-4701
(406) 586-4702
Mailing address
300 N WILLSON AVE, #201-B, BOZEMAN, MT 59715-3551
(406) 586-4701
(406) 586-4702
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
06-00055785
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
29630
BLUE CROSS BLUE SHIELD
MT
Enumeration date
12/15/2006
Last updated
03/18/2013
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