Organization Active NPI

Roger a Anderson O.D. P.C.

  • Optometrist
  • Sidney, MT
National Provider Identifier
1366690299
Registry record updated Jun 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
414 Issued in MT
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

Updated by the provider on Jun 4, 2009

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)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.