NPIMap

Organization Active NPI

Walman Optical Company

  • Eyewear Supplier
  • Billings, MT
National Provider Identifier
1013041292
Registry record updated Aug 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
Legal business name
WALMAN OPTICAL COMPANY
Practice address
2747 Enterprise Ave
Unit 3
Billings, MT 59102-7412
Phone
(406) 252-2143
Fax
(800) 759-4920
NPI assigned
Mar 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2016

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

Authorized official

Name
Bryan Schueler
Title
Vice President and General Manager
Phone
(612) 520-6000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X Primary

Addresses

Primary practice location

2747 Enterprise Ave
Unit 3
Billings, MT 59102-7412

Mailing address

2747 Enterprise Ave
Unit 3
Billings, MT 59102-7412
Phone (406) 252-2143

Other identifiers 3

IdentifierTypeStateIssuer
000029735OtherMTDEPT OF CORRECTIONS #
5520002OtherMTCHIP PROVIDER NUMBER
0550056MedicaidMT

National Provider Directory

National Provider Directory
Tax ID family
Walman Optical Company7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2747 Enterprise Ave
Ste 3
Billings, MT 59102
Phone (406) 252-2143

NPI Registry JSON

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

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471392000000",
    "number": "1013041292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2747 ENTERPRISE AVE",
            "address_2": "UNIT 3",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591027412",
            "telephone_number": "406-252-2143",
            "fax_number": "800-759-4920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2747 ENTERPRISE AVE",
            "address_2": "UNIT 3",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591027412",
            "telephone_number": "406-252-2143",
            "fax_number": "800-759-4920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALMAN OPTICAL COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-16",
        "last_updated": "2016-08-17",
        "status": "A",
        "authorized_official_last_name": "SCHUELER",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_title_or_position": "VICE PRESIDENT AND GENERAL MANAGER",
        "authorized_official_telephone_number": "612-520-6000"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT OF CORRECTIONS #",
            "identifier": "000029735",
            "state": "MT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHIP PROVIDER NUMBER",
            "identifier": "5520002",
            "state": "MT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0550056",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Billings, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.