Organization Active NPI

Aspen Eye Clinic Inc.

  • Customized Equipment (DME)
  • Great Falls, MT
National Provider Identifier
1326185992
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
Legal business name
ASPEN EYE CLINIC INC.
Practice address
1123 Central Ave
Great Falls, MT 59401-3737
Phone
(406) 727-9330
Fax
(406) 727-5446
NPI assigned
Jan 31, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
John Stelter
Title
President
Phone
(406) 727-9330

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Customized Equipment (DME) 332BC3200X Primary

Addresses

Primary practice location

1123 Central Ave
Great Falls, MT 59401-3737

Mailing address

1123 Central Ave
Great Falls, MT 59401-3737
Phone (406) 727-9330

Other identifiers 1

IdentifierTypeStateIssuer
0550970MedicaidMT

National Provider Directory

National Provider Directory

Locations

1123 Central Ave
Great Falls, MT 59401
Phone (406) 216-2300

NPI Registry JSON

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1326185992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1123 CENTRAL AVE",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594013737",
            "telephone_number": "406-727-9330",
            "fax_number": "406-727-5446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1123 CENTRAL AVE",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594013737",
            "telephone_number": "406-727-9330",
            "fax_number": "406-727-5446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASPEN EYE CLINIC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "STELTER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "406-727-9330"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0550970",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Great Falls, MT

Sources for this page

  • 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.