Patrick J Stibel, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

470 Issued in MT

Practice address

509 2ND Ave N
Great Falls, MT 59401-2521

Phone

(406) 452-9507

Fax

(406) 452-2015

NPI assigned

Jan 23, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Eye Clinic of Great Falls, PC

  • Optometrist
  • Fort Benton, MT
  • NPI 1538209390
  NPD (past)

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1251763200000",
    "number": "1215081567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3427",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594033427",
            "telephone_number": "406-452-9507",
            "fax_number": "406-452-2015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 2ND AVE N",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594012521",
            "telephone_number": "406-452-9507",
            "fax_number": "406-452-2015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STIBEL",
        "first_name": "PATRICK",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-23",
        "last_updated": "2009-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MT",
            "license": "470",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "26540",
            "state": "MT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0480480",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jacob Casey Sternhagen, MSOTR/L
• Steven J. Ayres M D PLLC
• Mark Russell Stevenson, D.M.D
• Nathan Wade Steward, LACE
• John K Stewart, DDS
• Stillwater Counseling Services PLLC
• Justin Curtis Stilson, D.C.
• Coleen Mae Stivers, LCSW
• Pete Lloyd Stivers, PHD
• Mark Thomas Stoebe, DC

• Optometrist in Great Falls, MT
• Providers in Great Falls, MT by specialty
• Optometrist in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2009; 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.