Jesse Shane Standish, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

713 Issued in MT

Practice address

2750 Prospect Ave
Helena, MT 59601-9741

Phone

(406) 495-8591

Fax

(406) 495-8605

NPI assigned

Aug 31, 2006

Last updated

Jul 21, 2022By 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 1

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

• Standish Vision P.C

  • Optometrist
  • Helena, MT
  • NPI 1134304900
  NPD (past) Authorized official

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1316059504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2750 PROSPECT AVE",
            "city": "HELENA",
            "state": "MT",
            "postal_code": "596019741",
            "telephone_number": "406-495-8591",
            "fax_number": "406-495-8605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2750 PROSPECT AVE",
            "city": "HELENA",
            "state": "MT",
            "postal_code": "596019741",
            "telephone_number": "406-495-8591",
            "fax_number": "406-495-8605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANDISH",
        "first_name": "JESSE",
        "middle_name": "SHANE",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MT",
            "license": "713",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0483021",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• St. Peter's Health
• St. Peter's Health Specialty Pharmacy
• St. Peter's Hospital (St. Peter's Cardiology)
• St. Peter's Hospital
• Standish Vision P.C
• State of Montana
• State of Montana
• State of Montana
• State of Montana
• Phillip M Steele, MD

• Optometrist in Helena, MT
• Providers in Helena, MT by specialty
• Optometrist in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.