Active NPI
Big Sky Eyes PC
- Optometrist
- Big Sky, MT
National Provider Identifier
1396398442
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- BIG SKY EYES PC
- Practice address
- 99 Town Center Ave, Unit #A6
Big Sky, MT 59716-0700 - Phone
- (406) 414-0006
- Fax
- (406) 414-0004
- NPI assigned
- Jul 18, 2019
- Last updated
- Oct 11, 2019
- 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. Erica Perlman - Hensen, OD
- Title
- Doctor
- Phone
- (909) 576-6398
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | NU | Primary | |
| Corneal and Contact Management Optometrist | 152WC0802X | NU | ||
| Low Vision Rehabilitation Optometrist | 152WL0500X | NU | ||
| Pediatric Optometrist | 152WP0200X | NU | ||
| Sports Vision Optometrist | 152WS0006X | NU | ||
| Occupational Vision Optometrist | 152WX0102X | NU |
Addresses
Primary practice location
99 Town Center Ave, Unit #A6
Big Sky, MT 59716-0700
Mailing address
99 Town Center Ave, Unit #A6
P.O. Box # 160700
Big Sky, MT 59716
Phone (406) 414-0006
Other names 1
- Big Sky Eyes
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MT
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Optometrist
- Big Sky, MT
- NPI 1063865590
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1563408000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1570752000000",
"number": "1396398442",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "99 TOWN CENTER AVE, UNIT #A6",
"address_2": "P.O. BOX # 160700",
"city": "BIG SKY",
"state": "MT",
"postal_code": "59716",
"telephone_number": "406-414-0006"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "99 TOWN CENTER AVE, UNIT #A6",
"city": "BIG SKY",
"state": "MT",
"postal_code": "597160700",
"telephone_number": "406-414-0006",
"fax_number": "406-414-0004"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BIG SKY EYES PC",
"organizational_subpart": "NO",
"enumeration_date": "2019-07-18",
"last_updated": "2019-10-11",
"status": "A",
"authorized_official_last_name": "PERLMAN - HENSEN",
"authorized_official_first_name": "ERICA",
"authorized_official_title_or_position": "DOCTOR",
"authorized_official_telephone_number": "909-576-6398",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "OD"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "152WC0802X",
"taxonomy_group": "",
"desc": "Optometrist, Corneal and Contact Management",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "152WL0500X",
"taxonomy_group": "",
"desc": "Optometrist, Low Vision Rehabilitation",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "152WP0200X",
"taxonomy_group": "",
"desc": "Optometrist, Pediatrics",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "152WS0006X",
"taxonomy_group": "",
"desc": "Optometrist, Sports Vision",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "152WX0102X",
"taxonomy_group": "",
"desc": "Optometrist, Occupational Vision",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Big Sky Eyes",
"code": "5",
"type": "Other Name"
},
{
"organization_name": "Big Sky Eyes",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Big Sky, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2019; 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.