Individual provider Active NPI

Anthony Lee Baumgartner, O.D.

  • Optometrist
  • Butte, MT
National Provider Identifier
1215014535
Registry record updated Mar 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
520 Issued in MT
Practice address
800 Sampson St
Butte, MT 59701-3204
Phone
(406) 494-1700
Fax
(406) 494-1040
NPI assigned
Nov 1, 2006
Last updated
Mar 11, 2009By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 11, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 520 MT Primary

Addresses

Primary practice location

800 Sampson St
Butte, MT 59701-3204

Mailing address

800 Sampson St
Butte, MT 59701-3204
Phone (406) 494-1700

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
I20100203000441 MT Practitioner - Optometry 2062555766 Practice locations: Butte, MT

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 1987
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

800 Sampson St
Butte, MT 59701-3204
Phone (406) 494-1700

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery61

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
520MTMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1236729600000",
    "number": "1215014535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 SAMPSON ST",
            "city": "BUTTE",
            "state": "MT",
            "postal_code": "597013204",
            "telephone_number": "406-494-1700",
            "fax_number": "406-494-1040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 SAMPSON ST",
            "city": "BUTTE",
            "state": "MT",
            "postal_code": "597013204",
            "telephone_number": "406-494-1700",
            "fax_number": "406-494-1040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUMGARTNER",
        "first_name": "ANTHONY",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2009-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MT",
            "license": "520",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Butte, MT

Sources for this page

Verify at the official NPI Registry.