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NPI 1982749362 · live from the CMS NPI Registry

Havre Optometric Clinic, Pllp

Optometrist in Havre, MT. National Provider Identifier 1982749362, active.

NPI record

NPI1982749362 Type 2 · organization
StatusActive
Primary specialtyOptometrist 152W00000X
Practice location416 3rd Ave, Havre, MT 59501
Practice phone406-265-1231
Mailing addressPo Box 551, Havre, MT 59501
EnumeratedFebruary 21, 2007
Last updatedJuly 6, 2015
Authorized officialDouglas Safley, Partner
Other namesHavre Optometric Clinic

Taxonomies and licenses

TaxonomyCodeLicense
Eyewear Supplier (Equipment, not the service)332H00000X— (MT)
Optometrist primary152W00000X—

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.