Organization Active NPI

Beyer Big Sky Optical, Inc

  • Optometrist
  • Hamilton, MT
National Provider Identifier
1346459328
Registry record updated Dec 4, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
634 Issued in MT
Legal business name
BEYER BIG SKY OPTICAL, INC
Practice address
820 W Main St
Hamilton, MT 59840-2330
Phone
(406) 363-2020
Fax
(406) 363-0646
NPI assigned
May 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2007

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

Authorized official

Name
Dr. Dirk Michael Beyer, O.D.NPI 1699722249
Title
Optometrist
Phone
(406) 363-2020

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 634 MT Primary

Addresses

Primary practice location

820 W Main St
Hamilton, MT 59840-2330

Mailing address

PO Box 2068
Hamilton, MT 59840-4068
Phone (406) 363-2020

Other identifiers 1

IdentifierTypeStateIssuer
0481321MedicaidMT

Other names 1

  • Big Sky Eye Care Clinic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20080109000904 MT Part B Supplier - Clinic/Group Practice 6002996501 Receives reassigned benefits from 4 practitioners
Practice locations: Hamilton, MT
O20100930055329 MT DME Supplier - Physician - OptometristDME Supplier - Optician 6002996501 Practice locations: Hamilton, MT

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
27D2068820Big Sky Eye Care820 West Main Street, Hamilton, MT 59840Certificate of waiverNov 11, 2027

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Big Sky Eye Care820 W Main St, Hamilton, MT 59840-2330(406) 363-2020 Prosthetic Lenses: Conventional Eyeglasses Accepts assignmentParticipating since Jan 3, 2000

National Provider Directory

National Provider Directory

Locations

820 W Main St
Hamilton, MT 59840
Phone (208) 360-2334

Interoperability endpoints

  • Direct secure messaging: drbeyer@bigskyeyecare.eyeclinicdirect.net

Practitioners & affiliated clinicians

Practitioners 5

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": "1179792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196726400000",
    "number": "1346459328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2068",
            "city": "HAMILTON",
            "state": "MT",
            "postal_code": "598404068",
            "telephone_number": "406-363-2020",
            "fax_number": "406-363-0646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 W MAIN ST",
            "city": "HAMILTON",
            "state": "MT",
            "postal_code": "598402330",
            "telephone_number": "406-363-2020",
            "fax_number": "406-363-0646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEYER BIG SKY OPTICAL, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-22",
        "last_updated": "2007-12-04",
        "status": "A",
        "authorized_official_last_name": "BEYER",
        "authorized_official_first_name": "DIRK",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "406-363-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MT",
            "license": "634",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0481321",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Big Sky Eye Care Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hamilton, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.