Eyes On Main Incorporated

NPI #1316121627 in Bozeman, Montana

Provider Information

NPI Number: 1316121627
Entity Type: Organization
Organization Name: Eyes On Main Incorporated
Primary Specialty: Optometrist
Enumeration Date: Dec 21, 2007
Last Updated: Mar 7, 2023

Practice Location

Address: 1425 W MAIN ST
Address 2: UNIT B
City: Bozeman
State: Montana
ZIP Code: 59715-3283
Phone: (406) 586-2173

Authorized Official

Name: JEFFREY C SQUIRE, OD
Title: PRESIDENT
Phone: (406) 586-2173

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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