Organization Active NPI

Big Sky Optical

  • Eyewear Supplier
  • Butte, MT
National Provider Identifier
1366654840
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
Legal business name
BIG SKY OPTICAL
Practice address
14 South Montana
Butte, MT 59701-0000
Phone
(406) 723-5223
Fax
(406) 723-4542
NPI assigned
May 4, 2007
Last updated
Aug 22, 2020By the provider in NPPES
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
Mr. Vernon Paul Kingston I
Title
Optician
Phone
(406) 723-5223

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X Primary

Addresses

Primary practice location

14 South Montana
Butte, MT 59701-0000

Mailing address

14 South Montana
Butte, MT 59701-0000
Phone (406) 723-5223

Other identifiers 1

IdentifierTypeStateIssuer
0555854MedicaidMT

National Provider Directory

National Provider Directory

Locations

14 S Montana St
Butte, MT 59701
Phone (406) 723-5223

NPI Registry JSON

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1366654840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 SOUTH MONTANA",
            "city": "BUTTE",
            "state": "MT",
            "postal_code": "597010000",
            "telephone_number": "406-723-5223",
            "fax_number": "406-723-4542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 SOUTH MONTANA",
            "city": "BUTTE",
            "state": "MT",
            "postal_code": "597010000",
            "telephone_number": "406-723-5223",
            "fax_number": "406-723-4542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIG SKY OPTICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KINGSTON",
        "authorized_official_first_name": "VERNON",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "OPTICIAN",
        "authorized_official_telephone_number": "406-723-5223",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "I"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0555854",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Butte, 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.