Provider Demographics
NPI:1740430149
Name:FAMILY EYE CARE, LLC
Entity Type:Organization
Organization Name:FAMILY EYE CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:ERNEST
Authorized Official - Last Name:REEVES
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:406-761-6841
Mailing Address - Street 1:501 CENTRAL AVE
Mailing Address - Street 2:
Mailing Address - City:GREAT FALLS
Mailing Address - State:MT
Mailing Address - Zip Code:59401-3117
Mailing Address - Country:US
Mailing Address - Phone:406-761-6841
Mailing Address - Fax:406-454-0609
Practice Address - Street 1:501 CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:GREAT FALLS
Practice Address - State:MT
Practice Address - Zip Code:59401-3117
Practice Address - Country:US
Practice Address - Phone:406-761-6841
Practice Address - Fax:406-454-0609
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-23
Last Update Date:2010-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT788152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
6357790001Medicare NSC