Full Name | Ennis Eye Clinic |
---|---|
Type | Facility |
Speciality | Optometrist |
Location | 219 E. Main St., Ennis, Montana |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1639431588 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 811 (Montana) | Primary |
Mailing Address | Practice Location Address |
---|---|
Ennis Eye Clinic 316 S 5th Ave, Bozeman, MT 59715-4517 Ph: (812) 322-6632 | Ennis Eye Clinic 219 E. Main St., Ennis, MT 59792 Ph: (406) 682-4208 |
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