Organization Active NPI

Montana Valley Eye Clinic, PLLC

  • Ophthalmology Physician
  • Missoula, MT
National Provider Identifier
1063634145
Registry record updated Sep 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
6078 Issued in MT
Legal business name
MONTANA VALLEY EYE CLINIC, PLLC
Practice address
2687 Palmer St Ste C2
Missoula, MT 59808-1710
Phone
(406) 728-0044
Fax
(406) 728-0494
NPI assigned
May 2, 2007
Last updated
Sep 13, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2022

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

Authorized official

Name
Rick Don Neumeister, MDNPI 1003984303
Title
MD
Phone
(406) 728-0044

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
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X 6078 MT Primary

Addresses

Primary practice location

2687 Palmer St Ste C2
Missoula, MT 59808-1710

Mailing address

2687 Palmer St Ste C2
Missoula, MT 59808-1710
Phone (406) 728-0044

Other identifiers 9

IdentifierTypeStateIssuer
0000012614MedicaidMT
0000012648MedicaidMT
0000012920MedicaidMT
0000109694MedicaidMT
002239600MedicaidID
01-14442-7OtherMTST FUND
180034859OtherMTRAILROAD MEDICARE
9622-0OtherMTBCBS
0550409MedicaidMT

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100215000173 MT Part B Supplier - Clinic/Group Practice 3577607571 Receives reassigned benefits from 2 practitioners
Practice locations: Missoula, MT
O20100930053626 MT DME Supplier - Physician - OphthalmologyDME Supplier - Optician 3577607571 1 other NPI on this enrollment
Practice locations: Missoula, MT

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Montana Valley Eye Clinic2687 Palmer St, Missoula, MT 59808-1710(406) 728-0044 Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses|Prosthetic Lenses: Prosthetics Cataract Lenses Accepts assignmentParticipating since Jan 1, 1999

National Provider Directory

National Provider Directory

Locations

2687 Palmer St
Ste C2
Missoula, MT 59808
Phone (406) 728-0044

601 W Spruce St
Ste E
Missoula, MT 59802
Phone (406) 728-0044

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": "1178064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663027200000",
    "number": "1063634145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2687 PALMER ST STE C2",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598081710",
            "telephone_number": "406-728-0044",
            "fax_number": "406-728-0494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2687 PALMER ST STE C2",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598081710",
            "telephone_number": "406-728-0044",
            "fax_number": "406-728-0494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTANA VALLEY EYE CLINIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-02",
        "last_updated": "2022-09-13",
        "certification_date": "2022-09-13",
        "status": "A",
        "authorized_official_last_name": "NEUMEISTER",
        "authorized_official_first_name": "RICK",
        "authorized_official_middle_name": "DON",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "406-728-0044",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "MT",
            "license": "6078",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000012614",
            "state": "MT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000012648",
            "state": "MT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000012920",
            "state": "MT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000109694",
            "state": "MT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002239600",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ST FUND",
            "identifier": "01-14442-7",
            "state": "MT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "180034859",
            "state": "MT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "9622-0",
            "state": "MT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0550409",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Missoula, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.