Southeast Optical Inc

Primary specialty

OpticianTaxonomy code 156FX1800X

Legal business name

SOUTHEAST OPTICAL INC

Practice address

2000 Clark Street
Miles City, MT 59301

Phone

(406) 234-1447

Fax

(406) 232-3538

NPI assigned

Mar 21, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Carey A Swenson, ABO CERTIF OPTICIAN

Title

Owner Manager

Phone

(406) 234-1447

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1245355684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 CLARK STREET",
            "city": "MILES CITY",
            "state": "MT",
            "postal_code": "59301",
            "telephone_number": "406-234-1447",
            "fax_number": "406-232-3538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 CLARK STREET",
            "city": "MILES CITY",
            "state": "MT",
            "postal_code": "59301",
            "telephone_number": "406-234-1447",
            "fax_number": "406-232-3538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEAST OPTICAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SWENSON",
        "authorized_official_first_name": "CAREY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER MANAGER",
        "authorized_official_telephone_number": "406-234-1447",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "ABO CERTIF OPTICIAN"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "29628",
            "state": "MT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0550001",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sara J Small, ACLC
• David A Smith, APRN
• Nicole Hart Smith, DPT
• Pamela Jean Smith
• Valerie Smith, LCSW, LAC
• Southeastern Montana Surgical Associates PC
• Albert John Sparr, O D
• Antwon Qouvadis Quo'Vadis Vedale Speller
• St. Vincent Healthcare (St. Vincent Medical Supply & Mobility)
• Daniel R Stanley, D.C.

• Optician in Miles City, MT
• Providers in Miles City, MT by specialty
• Optician in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.