Provider Demographics
NPI:1619173580
Name:TRUE VISION CLINIC PLLC
Entity Type:Organization
Organization Name:TRUE VISION CLINIC PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MORGAN
Authorized Official - Middle Name:R
Authorized Official - Last Name:LEACH
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:406-453-1900
Mailing Address - Street 1:1900 4TH ST NE
Mailing Address - Street 2:SUITE 5
Mailing Address - City:GREAT FALLS
Mailing Address - State:MT
Mailing Address - Zip Code:59404-1996
Mailing Address - Country:US
Mailing Address - Phone:406-453-1900
Mailing Address - Fax:406-453-1700
Practice Address - Street 1:1900 4TH ST NE
Practice Address - Street 2:SUITE 5
Practice Address - City:GREAT FALLS
Practice Address - State:MT
Practice Address - Zip Code:59404-1996
Practice Address - Country:US
Practice Address - Phone:406-453-1900
Practice Address - Fax:406-453-1700
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-26
Last Update Date:2010-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
MT0481202Medicaid
MT0481202Medicaid
MT000002877Medicare PIN
MT0679000001Medicare NSC