Organization
KOOTENAI VISION CENTERS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVEN L. SORENSEN O.D. (PRESIDENT/OWNER/DOCTOR)
(406) 293-4136
Entity
Organization
Contact information
Practice address
422 LOUISIANA AVE, LIBBY, MT 59923-2132
(406) 293-4136
(406) 293-2033
Mailing address
422 LOUISIANA AVE, LIBBY, MT 59923-2132
(406) 293-4136
(406) 293-2033
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
495
MT
Other
Enumeration date
08/20/2007
Last updated
02/12/2008
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