Individual provider Active NPI

Kristopher Sherrill, O.D

  • Optometrist
  • Butte, MT
National Provider Identifier
1336474410
Registry record updated Aug 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
827 Issued in MT
Practice address
2760 Elizabeth Warren Ave Ste B4
Butte, MT 59701-3979
Phone
(406) 792-1250
Fax
(406) 541-3811
NPI assigned
Oct 7, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 827 MT Primary

Addresses

Primary practice location

2760 Elizabeth Warren Ave Ste B4
Butte, MT 59701-3979

Mailing address

700 W Kent Ave
Missoula, MT 59801-6772
Phone (406) 396-5065

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT
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

Enrollment IDStateProvider typePAC IDDetails
I20130404000534 MT Practitioner - Optometry 9739350257 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rocky Mountain Eye Center PCGroup PAC ID 7416986542, 16 clinicians

Practice addresses (Care Compare)

700 W Kent Ave
Missoula, MT 59801-6772
Phone (406) 541-3937

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.49 of 100Reported as group
Quality
86.46
Promoting interoperability
95
Improvement activities
40
Cost
76

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
827MTMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Rocky Mountain Eye Center PC Optometrist CurrentSince Mar 1, 2013 Accepting new patients

Locations

2760 Elizabeth Warren Ave
Butte, MT 59701
Phone (406) 221-2419

2760 Elizabeth Warren Ave
Ste B4
Butte, MT 59701
Phone (406) 792-1250

3417 Busch St
Butte, MT 59701
Phone (406) 494-3145

2760 Elizabeth Warren Ave
Ste B
Butte, MT 59701
Phone (406) 792-1250

700 W Kent Ave
Missoula, MT 59801
Phone (406) 541-3277

Interoperability endpoints

  • Direct secure messaging: ksherrill@rockymountaineye.intellechartdirect.net

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1254873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723420800000",
    "number": "1336474410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 W KENT AVE",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598016772",
            "telephone_number": "406-396-5065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2760 ELIZABETH WARREN AVE STE B4",
            "city": "BUTTE",
            "state": "MT",
            "postal_code": "597013979",
            "telephone_number": "406-792-1250",
            "fax_number": "406-541-3811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHERRILL",
        "first_name": "KRISTOPHER",
        "credential": "O.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-10-07",
        "last_updated": "2024-08-12",
        "certification_date": "2024-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MT",
            "license": "827",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Butte, MT

Sources for this page

Verify at the official NPI Registry.