NPI 1205958717 · live from the CMS NPI Registry
Family Vision Care, INC.
Optometrist in Missoula, MT. National Provider Identifier 1205958717, active.
NPI record
| NPI | 1205958717 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Optometrist 152W00000X |
| Practice location | 2106 Oxford St, Missoula, MT 59801 |
| Practice phone | 406-549-2541 |
| Enumerated | April 4, 2007 |
| Last updated | August 22, 2020 |
| Authorized official | Joan Heimark, Office Manager |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Optometrist primary | 152W00000X | 692 OPT (MT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.