Jimmy Dee Robertson, O.D

Primary specialty

OptometristTaxonomy code 152W00000X

License

647 Issued in MT

Practice address

701 Smelter Ave NE
Great Falls, MT 59404-1940

Phone

(406) 761-3461

Fax

(406) 761-3547

NPI assigned

Sep 3, 2006

Last updated

Jul 8, 2007By 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

Medicare fee-for-service enrollment

Enrolled in TX

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

University of Houston - College of Optometry, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1157241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1316049885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 42ND ST S",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594051642",
            "telephone_number": "406-452-2924",
            "fax_number": "406-761-3547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 SMELTER AVE NE",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594041940",
            "telephone_number": "406-761-3461",
            "fax_number": "406-761-3547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTSON",
        "first_name": "JIMMY",
        "middle_name": "DEE",
        "name_prefix": "Mr.",
        "credential": "O.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MT",
            "license": "647",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ro Montana
• George Ro, MD
• Meredith Joann Robbins, APRN, CNM
• Amy K. Roberts, M.D.
• Laurie Roberts, P.T.A.
• Kylie Hall Robertson, DPT
• Michael Lynn Robertson, PCLC
• Jennifer Dawn Robison, PTA
• Rocky Front Counseling Services, LLC
• Rocky Mountain Biometrx

• 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 Jul 8, 2007; 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.