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Organization

BULLS EYE WEAR LTD. CO.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MELITA LYNETTE SCHAEFER A.B.O.M. (OWNER/OPTICIAN)
(406) 552-1299
Entity
Organization

Contact information

Practice address
2910 S RESERVE ST STE B, MISSOULA, MT 59801-7677
(406) 552-1299
(732) 595-9714
Mailing address
2910 S RESERVE ST STE B, MISSOULA, MT 59801-7677
(406) 552-1299
(732) 595-9714

Taxonomy

Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
332H00000X
Eyewear Supplier
2015MSSGEN00229
MT

Other

Enumeration date
09/05/2015
Last updated
07/29/2024
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