Organization Active NPI

Boes Eye Care

  • Ophthalmology Physician
  • Great Falls, MT
National Provider Identifier
1003180217
Registry record updated Mar 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
7544 Issued in MT
Legal business name
BOES EYE CARE
Practice address
2800 11TH Ave S
Suite 14
Great Falls, MT 59405-5263
Phone
(406) 455-2020
Fax
(406) 771-6816
NPI assigned
Mar 6, 2012
Last updated
Mar 6, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
David A Boes, MDNPI 1487655379
Title
Owner
Phone
(406) 455-2020

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 7544 MT Primary

Addresses

Primary practice location

2800 11TH Ave S
Suite 14
Great Falls, MT 59405-5263

Mailing address

2800 11TH Ave S
Suite 14
Great Falls, MT 59405-5263
Phone (406) 455-2020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120412000558 MT Part B Supplier - Clinic/Group Practice 4183885452 Receives reassigned benefits from 3 practitioners
Practice locations: Great Falls, MT

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1330992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330992000000",
    "number": "1003180217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 11TH AVE S",
            "address_2": "SUITE 14",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594055263",
            "telephone_number": "406-455-2020",
            "fax_number": "406-771-6816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 11TH AVE S",
            "address_2": "SUITE 14",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594055263",
            "telephone_number": "406-455-2020",
            "fax_number": "406-771-6816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOES EYE CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-06",
        "last_updated": "2012-03-06",
        "status": "A",
        "authorized_official_last_name": "BOES",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "406-455-2020",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MT",
            "license": "7544",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Great Falls, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.