Organization
KOOTENAI VISION CENTERS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVEN L. SORENSEN O.D. (OWNER/OPTOMETRIST)
(406) 293-4136
Entity
Organization
Contact information
Practice address
602 DEWEY AVE, SUITE 300, EUREKA, MT 59917-0960
(406) 296-2507
(406) 296-3219
Mailing address
PO BOX 960, EUREKA, MT 59917-0960
(406) 296-2507
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
495
MT
Other
Enumeration date
09/04/2007
Last updated
02/12/2008
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