Active NPI
Roger a Anderson O.D. P.C.
- Optometrist
- Sidney, MT
National Provider Identifier
1366690299
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 414
- Legal business name
- ROGER A ANDERSON O.D. P.C.
- Practice address
- 1405 4TH St SW
Suite 2
Sidney, MT 59270-3515 - Phone
- (406) 488-2705
- Fax
- (406) 488-2713
- NPI assigned
- Sep 4, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Roger A Anderson, OD
- Title
- Optometrist
- Phone
- (406) 488-2705
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 414 | MT | Primary |
Addresses
Primary practice location
1405 4TH St SW
Suite 2
Sidney, MT 59270-3515
Mailing address
1405 4TH St SW
Suite 2
Sidney, MT 59270-3515
Phone (406) 488-2705
National Provider Directory
National Provider DirectoryLocations
1405 4th St SW
Ste 2
Sidney, MT 59270
Phone (406) 488-2705
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1220486400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1244073600000",
"number": "1366690299",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1405 4TH ST SW",
"address_2": "SUITE 2",
"city": "SIDNEY",
"state": "MT",
"postal_code": "592703515",
"telephone_number": "406-488-2705",
"fax_number": "406-488-2713"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1405 4TH ST SW",
"address_2": "SUITE 2",
"city": "SIDNEY",
"state": "MT",
"postal_code": "592703515",
"telephone_number": "406-488-2705",
"fax_number": "406-488-2713"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROGER A ANDERSON O.D. P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2008-09-04",
"last_updated": "2009-06-04",
"status": "A",
"authorized_official_last_name": "ANDERSON",
"authorized_official_first_name": "ROGER",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "OPTOMETRIST",
"authorized_official_telephone_number": "406-488-2705",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "OD"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "MT",
"license": "414",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sidney, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.