Organization
3 RIVERS EYECARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATTHEW BURGESS O.D. (OWNER)
(406) 549-4851
Entity
Organization
Contact information
Practice address
700 SOUTH AVE W, STE G, MISSOULA, MT 59801-8000
(406) 549-4851
Mailing address
700 SOUTH AVE W, STE G, MISSOULA, MT 59801-8000
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2200
MT
Other
Enumeration date
07/17/2014
Last updated
07/17/2014
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