Michael M. Monson, O.D., P.C.

Primary specialty

OptometristTaxonomy code 152W00000X

License

757 Issued in MT

Legal business name

MICHAEL M. MONSON, O.D., P.C.

Practice address

1221 Dewey Blvd
Butte, MT 59701-3413

Phone

(406) 494-2222

Fax

(406) 494-2263

NPI assigned

May 23, 2007

Last updated

Jul 7, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Michael Mark Monson, O.D.

Title

President

Phone

(406) 494-2222

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594080000000",
    "number": "1063622496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1221 DEWEY BLVD",
            "city": "BUTTE",
            "state": "MT",
            "postal_code": "597013413",
            "telephone_number": "406-494-2222",
            "fax_number": "406-494-2263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1221 DEWEY BLVD",
            "city": "BUTTE",
            "state": "MT",
            "postal_code": "597013413",
            "telephone_number": "406-494-2222",
            "fax_number": "406-494-2263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL M. MONSON, O.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-23",
        "last_updated": "2020-07-07",
        "certification_date": "2020-07-07",
        "status": "A",
        "authorized_official_last_name": "MONSON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "MARK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "406-494-2222",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MT",
            "license": "757",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MCR #",
            "identifier": "DB 9976",
            "state": "MT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCR GROUP #",
            "identifier": "000084143",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2020; 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.