Mission Valley Eye Center, Inc.

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

MISSION VALLEY EYE CENTER, INC.

Doing business as

Ronan Eye Clinic

Practice address

417 Main St SW
Ronan, MT 59864-2738

Phone

(406) 676-8921

Fax

(406) 676-3938

NPI assigned

Oct 12, 2012

Last updated

Jul 24, 2013By 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. Marcus A Simonich, O.D.NPI 1497989396

Title

Owner/Doctor

Phone

(406) 676-8921

Specialties & licenses 1

Addresses

Other names 1

• Ronan Eye Clinic Doing business as

Medicare fee-for-service enrollment

Enrolled in MT2 enrollments

Enrollment records 2

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

Practitioners 2

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.

• Marcus Andrew Simonich, O.D.

  • Optometrist
  • Ronan, MT
  • NPI 1497989396
  Medicare reassignment Care Compare group Authorized official
• Levi Ryan Black, OD

  • Optometrist
  • Ronan, MT
  • NPI 1831768779
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1350000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374624000000",
    "number": "1063764173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "417 MAIN ST SW",
            "city": "RONAN",
            "state": "MT",
            "postal_code": "598642738",
            "telephone_number": "406-676-8921",
            "fax_number": "406-676-3938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "417 MAIN ST SW",
            "city": "RONAN",
            "state": "MT",
            "postal_code": "598642738",
            "telephone_number": "406-676-8921",
            "fax_number": "406-676-3938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSION VALLEY EYE CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-12",
        "last_updated": "2013-07-24",
        "status": "A",
        "authorized_official_last_name": "SIMONICH",
        "authorized_official_first_name": "MARCUS",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER/DOCTOR",
        "authorized_official_telephone_number": "406-676-8921",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ronan Eye Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Toni Michel
• Bruce Devin Mikesell, M.D.
• Mission Mobile Physical Therapy LLC
• Mission Mountain Enterprises, Inc.
• Mission Mountain Home Care LLC
• Mission Valley Wellness, PLLC
• Char-El Teresa Montana, LCPC
• James Michael Moore, L. AC.,
• Daniel W Moullet, MD
• Mountain View Care Center, Inc

• Optometrist in Ronan, MT
• Providers in Ronan, MT by specialty
• Optometrist in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2013; 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.