NPI 1619017928

Southern Montana Optometric Center, INC

Organisation Optometrist Laurel, MT

Practice location

Address: 210 1st Ave, Laurel, MT 59044-3014
Phone: (406) 628-8668
Fax: (406) 628-8668
Mailing address: PO Box 190, Laurel, MT 59044-0190

Authorised official

Name: Ronald Lee Benner
Title: President
Phone: (406) 628-8668

Registered specialties

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence 523 (MT)

Other Optometrist providers in Montana →

Registry record

NPI: 1619017928
Entity type: Organization
NPI issued: 7 Feb 2007
Record last updated: 15 Nov 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.