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SPECTICCA INC NPI 1497949002


NPI Information

NPI: 1497949002
Provider Name: SPECTICCA INC

Other Name: SPECTICCA OPTICAL BOUTIQUE

Classification: Eyewear Supplier - 332H00000X
Entity Type: Organization
Address:
319 N HIGGINS AVE
MISSOULA, MT
ZIP 59802
Phone: (406) 549-5700
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SPECTICCA INC is an eyewear supplier in Missoula, MT. The provider is an organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. SPECTICCA INC NPI is 1497949002. The provider is registered as an organization entity type.
The provider Other Name Is Specticca Optical Boutique.

The provider's business location address is:

319 N HIGGINS AVE
MISSOULA, MT
ZIP 59802-537
Phone: (406) 549-5700

The provider's authorized official is Claude Huguet .
The authorized official title is Optician/owner and has the following contact phone number (406) 549-5700.

The enumeration date for this NPI number is 8/28/2007 and was last updated on 3/17/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332H00000XEyewear SupplierBL01-9385MONTANAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
16073810001MEDICARE NSCMONTANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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