Organization
ADVANCED EYECARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SONIA K BECKER (INSURANCE CREDENTIALING)
(406) 577-2507
Entity
Organization
Contact information
Practice address
4265 FALLON ST, SUITE 1, BOZEMAN, MT 59718-6756
(406) 587-0668
(406) 587-0396
Mailing address
4265 FALLON ST., SUITE 1, BOZEMAN, MT 59718-6756
(406) 587-0668
(406) 587-0396
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0483288
—
MT
Enumeration date
05/10/2007
Last updated
12/30/2020
About Stedi
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