Organization
MILES CITY VISION CLINIC PC
Active
Parent organization
MILES CITY VISION CLINIC
Other names
Colstrip Eye Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
MILES CITY VISION CLINIC
Authorized official
ROBERT DEAN LUNDE OD OPTOMETRIST (OWNER PRESIDENT)
(406) 234-7426
Entity
Organization
Contact information
Practice address
6216 MAIN ST, COLSTRIP, MT 59323-1924
(406) 748-3290
(406) 748-3301
Mailing address
PO BOX 1924, COLSTRIP, MT 59323-1924
(406) 748-3290
(406) 748-3301
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
372
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0482807
—
MT
Enumeration date
03/21/2007
Last updated
07/18/2008
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