Patrick-Purdy Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

689 Issued in MT

Legal business name

PATRICK-PURDY INC

Doing business as

Dr. Terry C. Patrick, O.D.

Practice address

610 California Ave
Libby, MT 59923-1902

Phone

(406) 293-6236

Fax

(406) 293-6237

NPI assigned

Mar 5, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Terry C Patrick, O.D.

Title

President

Phone

(406) 293-6236

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Dr. Terry C. Patrick, O.D. Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tanner Lightbourne, OD

  • Optometrist
  • Libby, MT
  • NPI 1164092425
  NPD

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333497600000",
    "number": "1215066188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 CALIFORNIA AVE",
            "city": "LIBBY",
            "state": "MT",
            "postal_code": "599231902",
            "telephone_number": "406-293-6236",
            "fax_number": "406-293-6237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 CALIFORNIA AVE",
            "city": "LIBBY",
            "state": "MT",
            "postal_code": "599231902",
            "telephone_number": "406-293-6236",
            "fax_number": "406-293-6237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRICK-PURDY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-05",
        "last_updated": "2012-04-04",
        "status": "A",
        "authorized_official_last_name": "PATRICK",
        "authorized_official_first_name": "TERRY",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "406-293-6236",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MT",
            "license": "689",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "481525",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr. Terry C. Patrick, O.D.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Optometrist in Libby, MT
• Providers in Libby, MT by specialty
• Optometrist in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.