Mariah Mitman, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

3373 Issued in MT

Practice address

820 W Main St
Hamilton, MT 59840-2330

Phone

(406) 363-2020

NPI assigned

Jul 9, 2018

Last updated

Jul 26, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Pacific University - College of Optometry, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Beyer Big Sky Optical, IncGroup PAC ID 6002996501, 4 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Quality

100

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Beyer Big Sky Optical, Inc

  dba Big Sky Eye Care Clinic

  • Optometrist
  • Hamilton, MT
  • NPI 1346459328
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1531094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690329600000",
    "number": "1366938771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 W MAIN ST",
            "city": "HAMILTON",
            "state": "MT",
            "postal_code": "598402330",
            "telephone_number": "406-363-2020"
        },
        {
            "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"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2295 Kietzke Ln",
            "address_purpose": "LOCATION",
            "city": "Reno",
            "state": "NV",
            "postal_code": "895023604",
            "country_code": "US",
            "telephone_number": "775-328-1773",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10583 Double R Blvd",
            "address_purpose": "LOCATION",
            "city": "Reno",
            "state": "NV",
            "postal_code": "895218909",
            "country_code": "US",
            "telephone_number": "775-323-4391",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9700 S McCarran Blvd",
            "address_purpose": "LOCATION",
            "city": "Reno",
            "state": "NV",
            "postal_code": "895239203",
            "country_code": "US",
            "telephone_number": "775-827-3937",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MITMAN",
        "first_name": "MARIAH",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-09",
        "last_updated": "2023-07-26",
        "certification_date": "2023-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NV",
            "license": "1016",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MT",
            "license": "3373",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1366938771",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kellie D Mildenberger, LCSW
• Jerry E Miller, MS, LCPC
• Usman Mirza, HIS
• Missoula Orthotics & Prosthetics Laboratory Inc (Aspen Orthotics & Prosthetics)
• John Jay Mitman, PT
• Jody Mohoff, CST
• Brett Erik Mollenhauer
• Sarah Mollenhauer, DPT
• Molly R Gannon D D S P C
• Montana Cancer Specialists

• Optometrist in Hamilton, MT
• Providers in Hamilton, MT by specialty
• Optometrist in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.