Organization Active NPI

Harberts Optometry, LLC

  • Optometrist
  • Bozeman, MT
National Provider Identifier
1336790708
Registry record updated Nov 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
HARBERTS OPTOMETRY, LLC
Practice address
1500 N 7TH Ave
Bozeman, MT 59715-2557
Phone
(406) 585-8153
NPI assigned
Sep 26, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2019

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

Authorized official

Name
Kate Holley
Title
Office Manager
Phone
(406) 585-8153

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

1500 N 7TH Ave
Bozeman, MT 59715-2557

Mailing address

1500 N 7TH Ave
Bozeman, MT 59715-2557
Phone (406) 585-8153

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200211002692 MT Part B Supplier - Clinic/Group Practice 2567898562 Receives reassigned benefits from 1 practitioner
Practice locations: Bozeman, MT

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1569456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1573689600000",
    "number": "1336790708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 N 7TH AVE",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597152557",
            "telephone_number": "406-585-8153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 N 7TH AVE",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597152557",
            "telephone_number": "406-585-8153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARBERTS OPTOMETRY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-26",
        "last_updated": "2019-11-14",
        "status": "A",
        "authorized_official_last_name": "HOLLEY",
        "authorized_official_first_name": "KATE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "406-585-8153"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bozeman, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.