Organization Active NPI

Beartooth Vision Center, P.C.

  • Optometrist
  • Billings, MT
National Provider Identifier
1063424711
Registry record updated Jun 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
622 Issued in MT
Legal business name
BEARTOOTH VISION CENTER, P.C.
Practice address
2499 Gabel Rd
Suite 3
Billings, MT 59102-7349
Phone
(406) 652-9339
Fax
(406) 652-4237
NPI assigned
Aug 12, 2006
Last updated
Jun 2, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2011

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

Authorized official

Name
Dr. Robert Pembroke Currence, O.D.NPI 1275516742
Title
President
Phone
(406) 652-9339

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
Optometrist 152W00000X 622 MT Primary

Addresses

Primary practice location

2499 Gabel Rd
Suite 3
Billings, MT 59102-7349

Mailing address

1600 Judd Cir
Billings, MT 59102-6564
Phone (406) 652-9339

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041217000599 MT Part B Supplier - Clinic/Group Practice 1355308602 Receives reassigned benefits from 2 practitioners
Practice locations: Billings, MT

National Provider Directory

National Provider Directory

Locations

2499 Gabel Rd
Ste 3
Billings, MT 59102
Phone (406) 562-9339

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": "1155340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306972800000",
    "number": "1063424711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 JUDD CIR",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591026564",
            "telephone_number": "406-652-9339",
            "fax_number": "406-652-4237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2499 GABEL RD",
            "address_2": "SUITE 3",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591027349",
            "telephone_number": "406-652-9339",
            "fax_number": "406-652-4237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEARTOOTH VISION CENTER, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-12",
        "last_updated": "2011-06-02",
        "status": "A",
        "authorized_official_last_name": "CURRENCE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "PEMBROKE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "406-652-9339",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MT",
            "license": "622",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jun 2, 2011; 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.