Individual provider Active NPI

Lindsey Wilson, O.D.

  • Optometrist
  • Havre, MT
National Provider Identifier
1033568159
Registry record updated Aug 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3901 Issued in MT
Practice address
416 3Rd Ave
Havre, MT 59501-3914
Phone
(406) 265-1231
NPI assigned
Jun 9, 2016
Last updated
Aug 11, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 11, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3901 MT Primary

Addresses

Primary practice location

416 3Rd Ave
Havre, MT 59501-3914

Mailing address

416 3Rd Ave
Havre, MT 59501-3914
Phone (406) 265-1231

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, KY, MT3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20160913001445 OH Practitioner - Optometry 8921394206 Reassigns benefits to 2 organizations
I20160915002207 KY Practitioner - Optometry 8921394206 Reassigns benefits to 2 organizations
I20201008001677 MT Practitioner - Optometry 8921394206 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ohio State University - College of Optometry, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Havre Optometric Clinic PLLPGroup PAC ID 1557402542, 4 clinicians

Practice addresses (Care Compare)

416 3Rd Ave
Havre, MT 59501-3914
Phone (406) 265-1231

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery51

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6503OHMDClinical Psychologist
3901MTMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Claffie and Associates Optometrist CurrentSince Jun 18, 2016 Accepting new patients
Dr Claffie and Associates Optometrist CurrentSince Jun 18, 2016 Accepting new patients
Clarkson Optometry Midwest Inc. Optometrist CurrentSince Feb 1, 2019 Accepting new patients
Dr Claffie and Associates Optometrist Current Accepting new patients
Havre Optometric Clinic, PLLP Optometrist CurrentSince Oct 5, 2020 Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients

Locations

416 3rd Ave
Havre, MT 59501
Phone (406) 265-1231

9998 Kings Auto Mall Rd
Cincinnati, OH 45249
Phone (513) 683-9710

402 Premium Outlets Dr
Monroe, OH 45050
Phone (513) 360-0113

Interoperability endpoints

  • Direct secure messaging: lindseywilson@direct.eyecare-partners.com

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1465430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691712000000",
    "number": "1033568159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "416 3RD AVE",
            "city": "HAVRE",
            "state": "MT",
            "postal_code": "595013914",
            "telephone_number": "406-265-1231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "416 3RD AVE",
            "city": "HAVRE",
            "state": "MT",
            "postal_code": "595013914",
            "telephone_number": "406-265-1231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "LINDSEY",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-09",
        "last_updated": "2023-08-11",
        "certification_date": "2023-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MT",
            "license": "3901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Havre, MT

Sources for this page

Verify at the official NPI Registry.