Organization Active NPI

Mark F. Ozog M.D. P.C.

Doing business as Ozog Eye Care and Laser Center

  • Ophthalmology Physician
  • Great Falls, MT
National Provider Identifier
1174654206
Registry record updated May 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
MARK F. OZOG M.D. P.C.
Doing business as
Ozog Eye Care and Laser Center
Practice address
1417 9TH St S Ste 100
Great Falls, MT 59405-4509
Phone
(406) 453-1613
Fax
(406) 453-3717
NPI assigned
Mar 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2025

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

Authorized official

Name
Mrs. Amanda Huhtala
Title
Manager
Phone
(406) 453-1613

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X Primary
Durable Medical Equipment & Medical Supplies 332B00000X 7816 MT

Addresses

Primary practice location

1417 9TH St S Ste 100
Great Falls, MT 59405-4509

Mailing address

1417 9TH St S Ste 100
Great Falls, MT 59405-4509
Phone (406) 453-1613

Other names 1

  • Ozog Eye Care and Laser Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100126000878 MT Part B Supplier - Clinic/Group Practice 4183766363 Receives reassigned benefits from 1 practitioner
Practice locations: Great Falls, MT
O20100930028695 MT DME Supplier - Physician - Ophthalmology 4183766363 Practice locations: Great Falls, MT

National Provider Directory

National Provider Directory
Tax ID family
Mark F Ozog MD PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1417 9th St S
Ste 100
Great Falls, MT 59405
Phone (406) 453-1613

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": "1173312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746403200000",
    "number": "1174654206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1417 9TH ST S STE 100",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594054509",
            "telephone_number": "406-453-1613",
            "fax_number": "406-453-3717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1417 9TH ST S STE 100",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594054509",
            "telephone_number": "406-453-1613",
            "fax_number": "406-453-3717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK F. OZOG M.D. P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-08",
        "last_updated": "2025-05-05",
        "certification_date": "2025-05-05",
        "status": "A",
        "authorized_official_last_name": "HUHTALA",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "406-453-1613",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MT",
            "license": "7816",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ozog Eye Care and Laser Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Ozog Eye Care and Laser Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Great Falls, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.