Rocky Mountain Eye Surgery Center Inc

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

11789 Issued in MT

Legal business name

ROCKY MOUNTAIN EYE SURGERY CENTER INC

Practice address

700 West Kent
Missoula, MT 59801

Phone

(406) 541-3883

Fax

(406) 541-3884

NPI assigned

Aug 10, 2006

Organization subpart

No

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

Authorized official

Name

Ryan L Peterson, CEO

Title

Ceo

Phone

(406) 541-3937

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MT

Enrollment records 1

Listed as

Rocky Mountain Eye Surgery Center IncCCN 27C0001010

Medicare certification status

ActiveFrom the Provider of Services file

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jacek Kotowski, M.D.

  • Ophthalmology Physician
  • Missoula, MT
  • NPI 1134451487
  NPD (past)

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618876800000",
    "number": "1093726796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 W KENT AVE",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598016772",
            "telephone_number": "406-541-3806",
            "fax_number": "406-541-3811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 WEST KENT",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "59801",
            "telephone_number": "406-541-3883",
            "fax_number": "406-541-3884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCKY MOUNTAIN EYE SURGERY CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-10",
        "last_updated": "2021-04-20",
        "certification_date": "2021-04-20",
        "status": "A",
        "authorized_official_last_name": "PETERSON",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "406-541-3937",
        "authorized_official_credential": "CEO"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "MT",
            "license": "11789",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3507569",
            "state": "MT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC",
            "identifier": "60112",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christopher Rock, M.D.
• Rockpoint Chiropractic Services Inc. (Rockpoint Upper Cervical Center)
• Rocky Mountain Counseling Center LLC
• Rocky Mountain Ear Nose & Throat Center PC
• Rocky Mountain Eye Center PC
• Rocky Mountain Hospice of Missoula, LLC (Compassus Hospice Missoula)
• Rocky Mountain Optical & Contact Lens Center, Inc.
• Rocky Mountain Psychotherapy & Neurofeedback
• Rocky Mountain Women's Health (The Birth Center)
• Nicole Roda, DPT

• Ambulatory Surgical Clinic/Center in Missoula, MT
• Providers in Missoula, MT by specialty
• Ambulatory Surgical Clinic/Center in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2021; 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.