Healthcare Provider Details

I. General information

NPI: 1245292366
Provider Name (Legal Business Name): EYE PHYSICIANS OPTICAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/04/2006
Last Update Date: 03/06/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1221 N 26TH ST
BILLINGS MT
59101-0232
US

IV. Provider business mailing address

1221 N 26TH ST
BILLINGS MT
59101-0232
US

V. Phone/Fax

Practice location:
  • Phone: 406-252-5681
  • Fax: 406-252-5025
Mailing address:
  • Phone: 406-252-5681
  • Fax: 406-252-5025

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332H00000X
TaxonomyEyewear Supplier
License Number
License Number State

VIII. Authorized Official

Name: DR. GEORGE F HATCH JR.
Title or Position: OWNER
Credential: M.D.
Phone: 406-252-5681