Mark Stanchfield, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

516 Issued in MT

Practice address

226 9TH Ave SE
Cut Bank, MT 59427-3332

Phone

(406) 873-5623

Fax

(406) 873-5624

NPI assigned

Jan 10, 2006

Last updated

Apr 30, 2009By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

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

Specialty

Optometry

Education

Southern California College of Optometry, 1986

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Procedures performed for Medicare patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Larry J. Bonderud, OD

  dba Northern Montana Eyecare

  • Optometrist
  • Conrad, MT
  • NPI 1952812331
  NPD (past)

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

{
    "created_epoch": "1136851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1241049600000",
    "number": "1235118258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "226 9TH AVE SE",
            "city": "CUT BANK",
            "state": "MT",
            "postal_code": "594273332",
            "telephone_number": "406-873-5623",
            "fax_number": "406-873-5624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "226 9TH AVE SE",
            "city": "CUT BANK",
            "state": "MT",
            "postal_code": "594273332",
            "telephone_number": "406-873-5623",
            "fax_number": "406-873-5624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANCHFIELD",
        "first_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-10",
        "last_updated": "2009-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MT",
            "license": "516",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1235118258",
            "state": "MT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "048-1377",
            "state": "MT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE NSC",
            "identifier": "0249250001",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Claire Louise Reynolds, RN, FNP-C
• Sandra J Robinson, DO
• Madia Rodriguez-Morales, ARNP-FNP BC
• Jacob Sather
• Cornelia Simunic, N.P.
• Henry Fritz Thies, RPH
• Aaron Van Wagoner, DPT
• Randy Neal Webb, M.D.
• Stephen W Wegner, MD
• Wild Ginger Wellness PLLC

• Optometrist in Cut Bank, MT
• Providers in Cut Bank, MT by specialty
• Optometrist in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.