Vance Thompson Vision Mt Prof LLC

NPI #1144759945 in Bozeman, Montana

Provider Information

NPI Number: 1144759945
Entity Type: Organization
Organization Name: Vance Thompson Vision Mt Prof LLC
Primary Specialty: Optometrist
Enumeration Date: Jun 6, 2017
Last Updated: Jan 7, 2021

Practice Location

Address: 1925 N 22ND AVE
City: Bozeman
State: Montana
ZIP Code: 59718-7020
Phone: (877) 522-3937

Authorized Official

Name: MATT JENSEN
Title: CEO
Phone: (605) 361-3937

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary
Ophthalmology	207W00000X

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