Kootenai Vision Centers PC

NPI #1619161502 in Eureka, Montana

Provider Information

NPI Number: 1619161502
Entity Type: Organization
Organization Name: Kootenai Vision Centers PC
Primary Specialty: Optometrist
Enumeration Date: Sep 4, 2007
Last Updated: Feb 12, 2008

Practice Location

Address: 602 DEWEY AVE
Address 2: SUITE 300
City: Eureka
State: Montana
ZIP Code: 59917-0960
Phone: (406) 296-2507

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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