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General NPI Number Information
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NPI Number | 1558431148
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Entity Type | Organization
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Legal Business Name | HEIGHTS EYECARE, INC.
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Dates
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Enumeration Date | 11/09/2006
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Last Update Date | 09/16/2009
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Provider Practice Location Address
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Address Line | 430 LAKE ELMO DR
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City | BILLINGS
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State | MT
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Zip | 59105-3037
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Country | US
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Telephone | 406-252-9927
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Fax | 406-252-6567
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Provider Business Mailing Address
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Address Line | 430 LAKE ELMO DR
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City | BILLINGS
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State | MT
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Zip | 59105-3037
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Country | US
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Telephone | 406-252-9927
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Fax | 406-252-6567
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Authorized Official
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Title or Position | PRESIDENT
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Name | BRIAN EUGENE LINDE
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Credential | O.D.
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Telephone | 406-252-9927
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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 | 665
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License Number State | MT
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Taxonomy #2
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 747
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License Number State | MT
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Taxonomy #3
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 781
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License Number State | MT
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Taxonomy #4
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 532
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License Number State | MT
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