Organization
GLASGOW VISION CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROGER ANDERSON OD (PARTNER)
(406) 228-8200
Entity
Organization
Contact information
Practice address
839 1ST AVE S, GLASGOW, MT 59230-2262
(406) 228-8200
(406) 228-8200
Mailing address
839 1ST AVE S, GLASGOW, MT 59230-2262
(406) 228-8200
(406) 228-8200
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
414
MT
152W00000X
Optometrist
Primary
453
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04-80-097
—
MT
05
—
04-80-148
—
MT
01
—
1184500001
DMERC
MT
01
—
26871
BLUE CROSS BLUE SHIELD
MT
01
—
26991
BLUE CROSS BLUE SHIELD
MT
Enumeration date
07/08/2007
Last updated
07/11/2007
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