Organization Active NPI

Eyecare Associates of Lewistown PC

  • Optometrist
  • Lewistown, MT
National Provider Identifier
1245217199
Registry record updated Mar 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
555 Issued in MT
Legal business name
EYECARE ASSOCIATES OF LEWISTOWN PC
Practice address
119 E Main St
Lewistown, MT 59457-1710
Phone
(406) 538-5488
Fax
(406) 538-3210
NPI assigned
Dec 30, 2005
Last updated
Mar 3, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2023

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

Authorized official

Name
Dr. Jason A Ricks, ODNPI 1275731101
Title
President
Phone
(406) 535-2020

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 555 MT Primary

Addresses

Primary practice location

119 E Main St
Lewistown, MT 59457-1710

Mailing address

PO Box 59
Lewistown, MT 59457-0059
Phone (406) 538-5488

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20050802001325 MT Part B Supplier - Clinic/Group Practice 6901834613 Receives reassigned benefits from 2 practitioners
Practice locations: Lewistown, MT
O20100930071447 MT DME Supplier - Physician - Optometrist 6901834613 Practice locations: Lewistown, MT

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Eyecare Associates of Lewistown PC119 E Main St, Lewistown, MT 59457-1710(406) 535-2020 Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses|Prosthetic Lenses: Prosthetics Cataract Lenses Accepts assignmentParticipating since Aug 1, 2005

National Provider Directory

National Provider Directory

Locations

119 E Main St
Lewistown, MT 59457
Phone (406) 535-2020

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1135900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677801600000",
    "number": "1245217199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 59",
            "city": "LEWISTOWN",
            "state": "MT",
            "postal_code": "594570059",
            "telephone_number": "406-538-5488",
            "fax_number": "406-538-3210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 E MAIN ST",
            "city": "LEWISTOWN",
            "state": "MT",
            "postal_code": "594571710",
            "telephone_number": "406-538-5488",
            "fax_number": "406-538-3210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYECARE ASSOCIATES OF LEWISTOWN PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-30",
        "last_updated": "2023-03-03",
        "certification_date": "2023-03-03",
        "status": "A",
        "authorized_official_last_name": "RICKS",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "406-535-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MT",
            "license": "555",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewistown, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.