Advanced Eyecare LLC

NPI #1225209513 in Bozeman, Montana

Provider Information

NPI Number: 1225209513
Entity Type: Organization
Organization Name: Advanced Eyecare LLC
Subpart: Yes (part of a larger organization)
Parent Organization: ADVANCED EYECARE LLC
Primary Specialty: Optometrist
Enumeration Date: Mar 14, 2008
Last Updated: Jun 9, 2021

Practice Location

Address: 4265 FALLON ST STE 1
City: Bozeman
State: Montana
ZIP Code: 59718-6797
Phone: (406) 577-2507

Authorized Official

Name: SONIA K BECKER
Title: CREDENTIALING
Phone: (406) 577-2507

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Durable Medical Equipment & Medical Supplies - Customized Equipment — Customized Equipment	332BC3200X
Optometrist	152W00000X	Primary

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