Active NPI
Roger Furlong, MD
- Ophthalmology Physician
- Missoula, MT
National Provider Identifier
1164416038
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 6619
- Practice address
- 700 W Kent Ave
Missoula, MT 59801-6772 - Phone
- (406) 541-3804
- Fax
- (406) 541-1810
- NPI assigned
- Sep 7, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 6619 | MT | Primary |
Addresses
Primary practice location
700 W Kent Ave
Missoula, MT 59801-6772
Mailing address
700 W Kent Ave
PO Box 4907
Missoula, MT 59801-6772
Phone (406) 541-3804
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 086411 | Medicaid | MT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6619 | MT | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rocky Mountain Optical & Contact Lens Center, Inc. | Past | Accepting new patients |
Interoperability endpoints
- rfurlong@rockymountaineye.intellechartdirect.net
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Optician
- Helena, MT
- NPI 1114695731
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126051200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1271203200000",
"number": "1164416038",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 W KENT AVE",
"address_2": "PO BOX 4907",
"city": "MISSOULA",
"state": "MT",
"postal_code": "598016772",
"telephone_number": "406-541-3804",
"fax_number": "406-541-1810"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 W KENT AVE",
"city": "MISSOULA",
"state": "MT",
"postal_code": "598016772",
"telephone_number": "406-541-3804",
"fax_number": "406-541-1810"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FURLONG",
"first_name": "ROGER",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-07",
"last_updated": "2010-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "MT",
"license": "6619",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "086411",
"state": "MT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Missoula, MT
- Full Circle Counseling Solutions LLC
- Functional Medicine of Missoula PLLC
- Functional Performance Therapy Inc.
- Functional Performance Therapy, Inc.
- Hillary Swan Funk Welzenbach, LCPC
- Paige K Furniss, LCSW
- Elena Furrow, M.D.
- G & E Ventures Inc
- G Gregg Neibauer, DPM, Inc
- Stephanie Alayna Gaertig, D.P.T.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.