Southern Montana Optometric Center, INC

NPI #1619017928 in Laurel, Montana

Provider Information

NPI Number
1619017928
Entity Type
Organization
Organization Name
Southern Montana Optometric Center, INC
Primary Specialty
Optometrist
Enumeration Date
Feb 7, 2007
Last Updated
Nov 15, 2007

Practice Location

Address
210 1ST AVE
City
Laurel
State
Montana
ZIP Code
59044-3014
Phone
(406) 628-8668

Authorized Official

Name
DR. RONALD LEE BENNER, OD
Title
PRESIDENT
Phone
(406) 628-8668

Specialties & Taxonomy Codes

Specialty
Optometrist

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