Organization
SOUTHERN MONTANA OPTOMETRIC CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RONALD LEE BENNER OD (PRESIDENT)
(406) 628-8668
Entity
Organization
Contact information
Practice address
210 1ST AVE, LAUREL, MT 59044-3014
(406) 628-8668
(406) 628-8668
Mailing address
PO BOX 190, LAUREL, MT 59044-0190
(406) 628-8668
(406) 628-8668
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
523
MT
Other
Enumeration date
02/07/2007
Last updated
11/15/2007
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