Organization
JAMES E THREATT
Active
Other names
Doc's Eyeglass Shop
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES E THREATT MD (OWNER)
(406) 259-1280
Entity
Organization
Contact information
Practice address
907 BROADWATER SQ, BILLINGS, MT 59101-1634
(406) 259-1155
Mailing address
907 BROADWATER SQ, BILLINGS, MT 59101-1634
(406) 259-1155
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
4496
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0550596
—
MT
01
—
296090
BLUE CROSS BLUE SHIELD
MT
Enumeration date
12/14/2006
Last updated
02/22/2010
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