Kootenai Vision Centers PC

NPI #1528251832 in Libby, Montana

Provider Information

NPI Number: 1528251832
Entity Type: Organization
Organization Name: Kootenai Vision Centers PC
Primary Specialty: Optometrist
Enumeration Date: Aug 20, 2007
Last Updated: Feb 12, 2008

Practice Location

Address: 422 LOUISIANA AVE
City: Libby
State: Montana
ZIP Code: 59923-2132
Phone: (406) 293-4136

Authorized Official

Name: DR. STEVEN L. SORENSEN, O.D.
Title: PRESIDENT/OWNER/DOCTOR
Phone: (406) 293-4136

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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