Organization Active NPI

Wardell Vision Center, PC

  • Optometrist
  • Billings, MT
National Provider Identifier
1205271053
Registry record updated Aug 25, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
528 Issued in MT
Legal business name
WARDELL VISION CENTER, PC
Practice address
1005 24TH St W Ste 8
Billings, MT 59102-3800
Phone
(406) 281-8480
Fax
(406) 281-8481
NPI assigned
May 7, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2017

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

Authorized official

Name
Michael B. Wardell, O.D.NPI 1477695856
Title
Doctor/Owner
Phone
(406) 281-8480

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 528 MT Primary
Exclusive Provider Organization 302F00000X 528 MT

Addresses

Primary practice location

1005 24TH St W Ste 8
Billings, MT 59102-3800

Mailing address

1005 24TH St W Ste 8
Billings, MT 59102-3800
Phone (406) 281-8480

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130627000861 MT Part B Supplier - Clinic/Group Practice 0749428480 Receives reassigned benefits from 2 practitioners
Practice locations: Billings, MT

National Provider Directory

National Provider Directory

Locations

1005 24th St W
Ste 8
Billings, MT 59102
Phone (406) 281-8480

1005 24th St W
Billings, MT 59102
Phone (406) 237-8550

Practitioners & affiliated clinicians

Practitioners 2

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": "1367884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1503619200000",
    "number": "1205271053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1005 24TH ST W STE 8",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591023800",
            "telephone_number": "406-281-8480",
            "fax_number": "406-281-8481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 24TH ST W STE 8",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591023800",
            "telephone_number": "406-281-8480",
            "fax_number": "406-281-8481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WARDELL VISION CENTER, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-07",
        "last_updated": "2017-08-25",
        "status": "A",
        "authorized_official_last_name": "WARDELL",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "DOCTOR/OWNER",
        "authorized_official_telephone_number": "406-281-8480",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MT",
            "license": "528",
            "primary": true
        },
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "MT",
            "license": "528",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Billings, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2017; 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.