Active NPI
Richard F. Stanich, OD
- Optometrist
- Billings, MT
National Provider Identifier
1316095854
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 469OPT
- Practice address
- 801 N 29TH St
Billings, MT 59101-0905 - Phone
- (406) 238-2500
- NPI assigned
- Jan 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 469OPT | MT | Primary |
Addresses
Primary practice location
801 N 29TH St
Billings, MT 59101-0905
Mailing address
PO Box 35100
Billings, MT 59107-5100
Phone (406) 238-2500
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 109885300 | Other | WY | MDCD PIN |
| 0480930 | Other | MT | MDCD PIN |
| 000025951 | Other | MT | BCBS PIN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 469OPT | MT | MD | Optometrist |
| 469 | MT | MD | Medical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168214400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1418601600000",
"number": "1316095854",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 35100",
"city": "BILLINGS",
"state": "MT",
"postal_code": "591075100",
"telephone_number": "406-238-2500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "801 N 29TH ST",
"city": "BILLINGS",
"state": "MT",
"postal_code": "591010905",
"telephone_number": "406-238-2500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STANICH",
"first_name": "RICHARD",
"middle_name": "F.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-08",
"last_updated": "2014-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MT",
"license": "469OPT",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MDCD PIN",
"identifier": "109885300",
"state": "WY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MDCD PIN",
"identifier": "0480930",
"state": "MT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PIN",
"identifier": "000025951",
"state": "MT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Billings, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.