Individual provider Active NPI

Gary Stremcha, OD

  • Optometrist
  • Havre, MT
National Provider Identifier
1194747055
Registry record updated Nov 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
510 Issued in MT
Practice address
416 3Rd Ave
Havre, MT 59501-3914
Phone
(406) 265-1231
Fax
(406) 265-1603
NPI assigned
Jul 23, 2006
Last updated
Nov 27, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 510 MT Primary

Addresses

Primary practice location

416 3Rd Ave
Havre, MT 59501-3914

Mailing address

PO Box 551
Havre, MT 59501-0551
Phone (406) 265-1231

Other identifiers 2

IdentifierTypeStateIssuer
48-3613MedicaidMT
27360OtherMTBC/BS OF MT

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
I20050418001362 MT Practitioner - Optometry 3779521091 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Havre Optometric Clinic PLLPGroup PAC ID 1557402542, 4 clinicians

Practice addresses (Care Compare)

416 3Rd Ave
Havre, MT 59501-3914
Phone (406) 265-1231

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery37

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
510MTMDDental Hygienist

Practice roles

OrganizationSpecialtyStatusNew patients
Havre Optometric Clinic, PLLP Optometrist CurrentSince Oct 12, 1993 Accepting new patients

Locations

416 3rd Ave
Havre, MT 59501
Phone (406) 265-1231

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, 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": "1153612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196121600000",
    "number": "1194747055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 551",
            "city": "HAVRE",
            "state": "MT",
            "postal_code": "595010551",
            "telephone_number": "406-265-1231",
            "fax_number": "406-265-1603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "416 3RD AVE",
            "city": "HAVRE",
            "state": "MT",
            "postal_code": "595013914",
            "telephone_number": "406-265-1231",
            "fax_number": "406-265-1603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STREMCHA",
        "first_name": "GARY",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-23",
        "last_updated": "2007-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MT",
            "license": "510",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "48-3613",
            "state": "MT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS OF MT",
            "identifier": "27360",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Havre, MT

Sources for this page

Verify at the official NPI Registry.