Individual provider Active NPI

Joshua A Hager, OD

  • Optometrist
  • Great Falls, MT
National Provider Identifier
1083910459
Registry record updated May 31, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1624 Issued in MT
Practice address
509 2ND Ave N
Great Falls, MT 59401-2521
Phone
(406) 452-9507
NPI assigned
Feb 2, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1624 MT Primary

Addresses

Primary practice location

509 2ND Ave N
Great Falls, MT 59401-2521

Mailing address

509 2ND Ave N
Great Falls, MT 59401-2521
Phone (406) 452-9507

Other identifiers 1

IdentifierTypeStateIssuer
000008940OtherMTMEDICARE PCAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160602000724 MT Practitioner - Optometry 5395035422 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Clinic of Great Falls PCGroup PAC ID 2062404411, 3 clinicians

Practice addresses (Care Compare)

509 2ND Ave N
Great Falls, MT 59401-2521
Phone (406) 452-9507

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery46

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1624MTMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Clinic of Great Falls, PC Optometrist CurrentSince Jul 1, 2016 Accepting new patients
Eye Clinic of Great Falls, P.C. Optometrist CurrentSince Jul 1, 2016 Accepting new patients

Locations

509 2nd Ave N
Great Falls, MT 59401
Phone (406) 452-9507

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1296604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464652800000",
    "number": "1083910459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 2ND AVE N",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594012521",
            "telephone_number": "406-452-9507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 2ND AVE N",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594012521",
            "telephone_number": "406-452-9507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAGER",
        "first_name": "JOSHUA",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-02-02",
        "last_updated": "2016-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MT",
            "license": "1624",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PCAN",
            "identifier": "000008940",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Great Falls, MT

Sources for this page

Verify at the official NPI Registry.