Organization Active NPI

Helena Vision Center, PC

  • Optometrist
  • Helena, MT
National Provider Identifier
1023231644
Registry record updated Jan 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
449 Issued in MT
Legal business name
HELENA VISION CENTER, PC
Practice address
534 N Last Chance Gulch St
Helena, MT 59601-3303
Phone
(406) 442-6814
Fax
(406) 443-7732
NPI assigned
Apr 11, 2007
Last updated
Jan 25, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2008

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

Authorized official

Name
Mr. W Bruce Coen, O.D.NPI 1215018858
Title
President
Phone
(406) 442-6814

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 449 MT Primary

Addresses

Primary practice location

534 N Last Chance Gulch St
Helena, MT 59601-3303

Mailing address

PO Box 844
Helena, MT 59624-0844
Phone (406) 442-6814

Other identifiers 1

IdentifierTypeStateIssuer
0480454MedicaidMT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100127000471 MT Part B Supplier - Clinic/Group Practice 2860534989 Receives reassigned benefits from 5 practitioners
Practice locations: Helena, MT
O20100930026122 MT DME Supplier - Physician - Optometrist 2860534989 Practice locations: Helena, MT

National Provider Directory

National Provider Directory

Locations

534 N Last Chance Gulch
Helena, MT 59601
Phone (406) 442-6814

534 N Last Chance Gulch
Ste 1
Helena, MT 59601
Phone (406) 442-6814

630 N Last Chance Gulch
Ste 1200
Helena, MT 59601
Phone (406) 442-6814

Practitioners & affiliated clinicians

Practitioners 6

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": "1176249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201219200000",
    "number": "1023231644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 844",
            "city": "HELENA",
            "state": "MT",
            "postal_code": "596240844",
            "telephone_number": "406-442-6814",
            "fax_number": "406-443-7732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "534 N LAST CHANCE GULCH ST",
            "city": "HELENA",
            "state": "MT",
            "postal_code": "596013303",
            "telephone_number": "406-442-6814",
            "fax_number": "406-443-7732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HELENA VISION CENTER, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-11",
        "last_updated": "2008-01-25",
        "status": "A",
        "authorized_official_last_name": "COEN",
        "authorized_official_first_name": "W",
        "authorized_official_middle_name": "BRUCE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "406-442-6814",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MT",
            "license": "449",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0480454",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Helena, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2008; 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.