Organization Active NPI

Chinook Eye Center, LLC

  • Optometrist
  • Chinook, MT
National Provider Identifier
1134062698
Registry record updated Jul 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
CHINOOK EYE CENTER, LLC
Practice address
419 Pennsylvania St
Chinook, MT 59523-9726
Phone
(801) 400-2068
NPI assigned
Apr 10, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2026

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

Authorized official

Name
John PerezNPI 1841783693
Title
OD, Owner
Phone
(801) 400-2068

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
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

419 Pennsylvania St
Chinook, MT 59523-9726

Mailing address

1537 E 925 S
Clearfield, UT 84015-2377
Phone (801) 400-2068

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1775779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783555200000",
    "number": "1134062698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1537 E 925 S",
            "city": "CLEARFIELD",
            "state": "UT",
            "postal_code": "840152377",
            "telephone_number": "801-400-2068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "419 PENNSYLVANIA ST",
            "city": "CHINOOK",
            "state": "MT",
            "postal_code": "595239726",
            "telephone_number": "801-400-2068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHINOOK EYE CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-10",
        "last_updated": "2026-07-09",
        "certification_date": "2026-07-09",
        "status": "A",
        "authorized_official_last_name": "PEREZ",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OD, OWNER",
        "authorized_official_telephone_number": "801-400-2068"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chinook, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.