| Mission Valley Eye Center, Inc. | |
|
417 Main St Sw, Ronan, MT 59864-2738 | |
| (406) 676-8921 | |
| (406) 676-3938 |
| Full Name | Mission Valley Eye Center, Inc. |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 417 Main St Sw, Ronan, Montana |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063764173 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Primary |
| Provider Name | Marcus A Simonich |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1497989396 PECOS PAC ID: 5395890040 Enrollment ID: I20090901000314 |
| Provider Name | Levi Ryan Black |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1831768779 PECOS PAC ID: 3678976743 Enrollment ID: I20210727002440 |
| Mailing Address | Practice Location Address |
|---|---|
| Mission Valley Eye Center, Inc. 417 Main St Sw, Ronan, MT 59864-2738 Ph: (406) 676-8921 | Mission Valley Eye Center, Inc. 417 Main St Sw, Ronan, MT 59864-2738 Ph: (406) 676-8921 |
Arnt James Ofstad, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 417 Main St Sw, Ronan, MT 59864 Phone: 406-676-8921 Fax: 406-676-3938 | |
Dr. Marcus Andrew Simonich, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 417 Main St Sw, Ronan, MT 59864 Phone: 406-676-3937 | |
Levi Ryan Black, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 417 Main St Sw, Ronan, MT 59864 Phone: 406-676-3937 |