Provider Demographics
NPI:1366868549
Name:HI-LINE EYE CARE, PLLC
Entity Type:Organization
Organization Name:HI-LINE EYE CARE, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTOMETRIST/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:HALEY
Authorized Official - Middle Name:A
Authorized Official - Last Name:MENGE
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:406-228-4895
Mailing Address - Street 1:234 5TH ST S
Mailing Address - Street 2:
Mailing Address - City:GLASGOW
Mailing Address - State:MT
Mailing Address - Zip Code:59230-2421
Mailing Address - Country:US
Mailing Address - Phone:406-228-4895
Mailing Address - Fax:406-228-9760
Practice Address - Street 1:234 5TH ST S
Practice Address - Street 2:
Practice Address - City:GLASGOW
Practice Address - State:MT
Practice Address - Zip Code:59230-2421
Practice Address - Country:US
Practice Address - Phone:406-228-4895
Practice Address - Fax:406-228-9760
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-03-11
Last Update Date:2014-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT1761152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Multi-Specialty