Organization Active NPI

Hi-Line Eye Care, PLLC

  • Optometrist
  • Glasgow, MT
National Provider Identifier
1366868549
Registry record updated May 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1761 Issued in MT
Legal business name
HI-LINE EYE CARE, PLLC
Practice address
234 5TH St S
Glasgow, MT 59230-2421
Phone
(406) 228-4895
Fax
(406) 228-9760
NPI assigned
Mar 11, 2014
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Dr. Haley A Menge, O.D.NPI 1477990554
Title
Optometrist/Owner
Phone
(406) 228-4895

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

Practitioners 1

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

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140722000553 MT Part B Supplier - Clinic/Group Practice 3072739432 Receives reassigned benefits from 1 practitioner
Practice locations: Glasgow, MT

National Provider Directory

National Provider Directory

Locations

234 5th St S
Glasgow, MT 59230
Phone (406) 228-4895

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X 1761 MT Primary

Addresses

NPPES NPI Registry

Primary practice location

234 5TH St S
Glasgow, MT 59230-2421

Mailing address

234 5TH St S
Glasgow, MT 59230-2421
Phone (406) 228-4895

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 6, 2014.

{
    "created_epoch": "1394496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399334400000",
    "number": "1366868549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "234 5TH ST S",
            "city": "GLASGOW",
            "state": "MT",
            "postal_code": "592302421",
            "telephone_number": "406-228-4895",
            "fax_number": "406-228-9760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "234 5TH ST S",
            "city": "GLASGOW",
            "state": "MT",
            "postal_code": "592302421",
            "telephone_number": "406-228-4895",
            "fax_number": "406-228-9760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HI-LINE EYE CARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-11",
        "last_updated": "2014-05-06",
        "status": "A",
        "authorized_official_last_name": "MENGE",
        "authorized_official_first_name": "HALEY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OPTOMETRIST/OWNER",
        "authorized_official_telephone_number": "406-228-4895",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "MT",
            "license": "1761",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glasgow, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2014; 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.