Provider Demographics
NPI:1306974100
Name:BILLINGS VISION & CONTACT LENS CLINIC P C
Entity type:Organization
Organization Name:BILLINGS VISION & CONTACT LENS CLINIC P C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:SHERI
Authorized Official - Middle Name:
Authorized Official - Last Name:GALLAGHER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:406-652-4141
Mailing Address - Street 1:111 S 24TH ST W
Mailing Address - Street 2:UNIT 16
Mailing Address - City:BILLINGS
Mailing Address - State:MT
Mailing Address - Zip Code:59102-5600
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:111 S 24TH ST W
Practice Address - Street 2:UNIT 16
Practice Address - City:BILLINGS
Practice Address - State:MT
Practice Address - Zip Code:59102-5600
Practice Address - Country:US
Practice Address - Phone:406-652-4141
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-01
Last Update Date:2008-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
0751640001Medicare NSC