Organization
LAGRECA EYE CLINIC PC
Active
Other names
The Eye Clinic Surgicenter LaGreca Eye Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN A LAGRECA MD (MEDICAL DIRECTOR PRESIDENT)
(406) 252-6608
Entity
Organization
Contact information
Practice address
2475 VILLAGE LN, SUITE 202, BILLINGS, MT 59102-2497
(406) 252-6608
(406) 252-6600
Mailing address
2475 VILLAGE LN, SUITE 202, BILLINGS, MT 59102-2497
(406) 252-6608
(406) 252-6600
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
—
—
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
10825
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000099920
BCBS
MT
01
—
000060752
BCBS
MT
05
—
0351254
—
MT
01
—
104306400
WORKERS COMP REG
—
01
—
105765101
WORKERS COMP FIC
—
01
—
311773
BCBS
WY
01
—
311774
BCBS
WY
01
—
490005544
RAILROAD MEDICARE
MT
Enumeration date
07/31/2006
Last updated
12/29/2011
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