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General NPI Number Information
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NPI Number | 1043337678
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Entity Type | Organization
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Legal Business Name | SATHER EYE CLINIC AND OPTICAL, P.C.
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Dates
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Enumeration Date | 03/26/2007
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Last Update Date | 10/24/2023
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Provider Practice Location Address
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Address Line | 1727 W COLLEGE ST
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City | BOZEMAN
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State | MT
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Zip | 59715-4913
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Country | US
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Telephone | 406-587-9610
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Fax | 406-587-8369
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Provider Business Mailing Address
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Address Line | 1727 W COLLEGE ST
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City | BOZEMAN
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State | MT
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Zip | 59715-4913
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Country | US
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Telephone | 406-587-9610
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Fax | 406-587-8369
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. THOMAS C SATHER
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Credential | O.D.
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Telephone | 406-587-9610
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 439
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License Number State | MT
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