Healthcare Provider Details

I. General information

NPI: 1972671931
Provider Name (Legal Business Name): MOUNTAIN VIEW EYECARE PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/30/2006
Last Update Date: 10/17/2024
Certification Date: 10/17/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

301 SADDLE DRIVE SUITE B
HELENA MT
59601
US

IV. Provider business mailing address

301 SADDLE DRIVE SUITE B
HELENA MT
59601
US

V. Phone/Fax

Practice location:
  • Phone: 406-442-3938
  • Fax: 406-442-3366
Mailing address:
  • Phone: 406-442-3938
  • Fax: 406-442-3366

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number
License Number StateNULL
# 3
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number
License Number StateNULL

VIII. Authorized Official

Name: THOMAS G BERBOS
Title or Position: OWNER
Credential: MD
Phone: 406-442-3937