| Jec Llc | |
|
1200 W Kent Ave Ste 101, Missoula, MT 59801-6609 | |
| (406) 272-0453 | |
| (406) 221-3754 |
| Full Name | Jec Llc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 1200 W Kent Ave Ste 101, Missoula, Montana |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780274506 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Primary |
| Provider Name | Kimberly N Everingham |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1841285111 PECOS PAC ID: 0547394876 Enrollment ID: I20100823000120 |
| Provider Name | Rachael M Beatty |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1710115886 PECOS PAC ID: 9739231291 Enrollment ID: I20120202000822 |
| Mailing Address | Practice Location Address |
|---|---|
| Jec Llc 409 Agnes Ave, Missoula, MT 59801-8746 Ph: (406) 546-6854 | Jec Llc 1200 W Kent Ave Ste 101, Missoula, MT 59801-6609 Ph: (406) 272-0453 |
Mark Wayne Mutter Ii, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 700 W Kent Ave, Missoula, MT 59801 Phone: 406-541-3937 Fax: 406-541-3811 | |
Thomas R Ferguson, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2510 S Reserve St, Missoula, MT 59801 Phone: 406-721-5925 Fax: 406-721-3859 | |
Ty William Felton, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2230 N Reserve St Ste 330, Missoula, MT 59808 Phone: 406-309-6633 Fax: 406-309-6644 | |
Dr. Kellie Marie Hadnot, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2106 Oxford St, Missoula, MT 59801 Phone: 406-549-2541 | |
Dr. Heidi Gail Brott, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 4000 Us Highway 93 S, Missoula, MT 59804 Phone: 406-251-3679 Fax: 406-251-3715 | |
Shopko Optical 075 Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2510 S Reserve St, Missoula, MT 59801 Phone: 406-721-4646 | |
Sandy Sheppard Od Pc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 700 South Ave W, Ste. G, Missoula, MT 59801 Phone: 406-549-4851 Fax: 406-549-8486 |