Leonard E. Vainio & David G. Vainio PC
Organization Active NPI Optometrist · Anaconda, MT
NPI 1053342006 · NPPES record last updated Jul 31, 2014
Key facts
- NPI
- 1053342006
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Optometrist 152W00000X
- License
- 426 (MT)
- Legal business name
- LEONARD E. VAINIO & DAVID G. VAINIO PC
- Practice address
- 100 W Park Ave
Anaconda, MT 59711-2259 - Phone
- (406) 563-6471
- Fax
- (406) 563-7252
- NPI assigned
- Jul 6, 2006
- Organization subpart
- No
Authorized official
- Name
- Dr. David G Vainio, O.D.
- Title
- Optometrist
- Phone
- (406) 563-6471
Other NPIs on the same Medicare enrollment 6
Practitioners 5
-
David G Vainio, O.D.
-
Lindsay Michael Vainio, O.D.
-
Bonnie Rae Gunter, O.D.
-
Jessica N Lemons, OD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MT
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040113000778 | MT | Part B Supplier - Clinic/Group Practice | 2567362551 |
Receives reassigned benefits from 5 practitioners 6 other NPIs on this enrollment Practice locations: Anaconda, MT; Polson, MT; Missoula, MT; Butte, MT; Deer Lodge, MT |
National Provider Directory
Locations
1431 S Higgins Ave
Missoula, MT 59801
Phone (406) 549-1601
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist |
152W00000X | 426 | MT | Yes |
| Optometrist |
152W00000X | 490 | MT | |
| Ophthalmology Physician |
207W00000X | 3128 | MT |
Addresses
Primary practice location
100 W Park Ave
Anaconda, MT 59711-2259
Mailing address
100 W Park Ave
Anaconda, MT 59711-2259
Phone (406) 563-6471
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000482137 | Medicaid | MT | |
| 000482256 | Medicaid | MT | |
| D08606062 | Other | MT | SUBMITTER ID |
| P00005738 | Other | MT | RAILROAD MEDICARE |
Other names
- American Eyecare
Other providers in Anaconda, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 31, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.