Individual provider Active NPI

Kellie Marie Hadnot, O.D.

  • Optometrist
  • Missoula, MT
National Provider Identifier
1093979619
Registry record updated Oct 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
817 Issued in MT
Practice address
2106 Oxford St
Missoula, MT 59801-6638
Phone
(406) 549-2541
NPI assigned
Jul 13, 2008
Last updated
Oct 15, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 15, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 817 MT Primary
Optometrist 152W00000X 3265ATI OR

Addresses

Primary practice location

2106 Oxford St
Missoula, MT 59801-6638

Mailing address

2829 Great Northern Loop
Ste 100
Missoula, MT 59808-1752
Phone (406) 549-2541

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
I20100629000900 MT Practitioner - Optometry 4082781513 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Discovery Vision LLCGroup PAC ID 8224530407, 2 clinicians

Practice addresses (Care Compare)

2829 Great Northern Loop
Suite 100
Missoula, MT 59808-1752
Phone (406) 542-6382

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
817MTMDClinical Social Worker
3265ATIORMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Discovery Vision LLC Optometrist CurrentSince Jun 5, 2025 Accepting new patients
Family Vision Care, Inc. Optometrist CurrentSince Oct 1, 2013 Accepting new patients
Montana Family Vision Care, PC Optometrist CurrentSince Oct 15, 2021 Accepting new patients
Christopher L Paris M D P C PastSince Jan 1, 2018 Accepting new patients
Pacific University Past Accepting new patients

Locations

2829 Great Northern Loop
Ste 100
Missoula, MT 59808
Phone (406) 390-1677

2106 Oxford St
Missoula, MT 59801
Phone (406) 549-2541

2901 Brooks St
Missoula, MT 59801
Phone (406) 541-2886

2829 Great Northern Loop
Missoula, MT 59808
Phone (406) 541-7000

Organizations & group practices 5

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": "1215907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634256000000",
    "number": "1093979619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2829 GREAT NORTHERN LOOP",
            "address_2": "STE 100",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598081752",
            "telephone_number": "406-549-2541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2106 OXFORD ST",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598016638",
            "telephone_number": "406-549-2541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HADNOT",
        "first_name": "KELLIE",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-13",
        "last_updated": "2021-10-15",
        "certification_date": "2021-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MT",
            "license": "817",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OR",
            "license": "3265ATI",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Missoula, MT

Sources for this page

Verify at the official NPI Registry.