Provider Demographics
NPI:1841656907
Name:MARION OPTICANS
Entity type:Organization
Organization Name:MARION OPTICANS
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWER/OPTICIAN
Authorized Official - Prefix:MRS
Authorized Official - First Name:DEBBIE
Authorized Official - Middle Name:
Authorized Official - Last Name:COACH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:406-259-6786
Mailing Address - Street 1:1212 GRAND AVE
Mailing Address - Street 2:SUITE 14
Mailing Address - City:BILLINGS
Mailing Address - State:MT
Mailing Address - Zip Code:59102
Mailing Address - Country:US
Mailing Address - Phone:406-259-6786
Mailing Address - Fax:
Practice Address - Street 1:1212 GRAND AVE
Practice Address - Street 2:SUITE 14
Practice Address - City:BILLINGS
Practice Address - State:MT
Practice Address - Zip Code:59102
Practice Address - Country:US
Practice Address - Phone:406-259-6786
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-01-05
Last Update Date:2016-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier