Healthcare Provider Details

I. General information

NPI: 1619173580
Provider Name (Legal Business Name): TRUE VISION CLINIC PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/26/2007
Last Update Date: 08/30/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1900 4TH ST NE SUITE 5
GREAT FALLS MT
59404-1996
US

IV. Provider business mailing address

1900 4TH ST NE SUITE 5
GREAT FALLS MT
59404-1996
US

V. Phone/Fax

Practice location:
  • Phone: 406-453-1900
  • Fax: 406-453-1700
Mailing address:
  • Phone: 406-453-1900
  • Fax: 406-453-1700

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. MORGAN R. LEACH
Title or Position: OWNER
Credential: O.D.
Phone: 406-453-1900