Organization
BILLINGS FAMILY EYECARE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL A. HANSEN O.D. (PRESIDENT)
(406) 245-2299
Entity
Organization
Contact information
Practice address
1540 LAKE ELMO DR, SUITE 1, BILLINGS, MT 59105-1797
(406) 245-2299
(406) 245-8302
Mailing address
1540 LAKE ELMO DR, SUITE 1, BILLINGS, MT 59105-1797
(406) 245-2299
(406) 245-8302
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
419
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000083330
MEDICARE GROUP
MT
05
—
0482851
—
MT
01
—
26350
BLUE CROSS BLUE SHIELD
MT
01
—
MT0419
EYEMED
MT
01
—
P00040225
RAILROAD MEDICARE
MT
Enumeration date
02/01/2007
Last updated
03/06/2009
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