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Carl A Swanson Od

Eyewear Supplier (Equipment, not the service) in Great Falls, MT. Organization (NPI-2).

NPI number1588959613
StatusActive
Last updated in NPPESJun 16, 2011

Details

NPI
1588959613
Entity type
Organization (NPI-2)
Legal business name
Carl A Swanson Od
Organization subpart
No
Enumeration date
Jun 16, 2011
Last updated
Jun 16, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
332H00000X Eyewear Supplier (Equipment, not the service)T89265MTYes

Practice location

2509 7th Ave S
Suite C3
Great Falls, MT 59405-3030

Phone 406-761-2211 · Fax 406-761-2261

Mailing address

2509 7th Ave S
Suite C3
Great Falls, MT 59405-3030

Phone 406-761-2211 · Fax 406-761-2261

Authorized official

Carl A Swanson
Optometrist
4067612211

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