Organization Active NPI

Dochardy.Com LLC

  • Optometrist
  • Montana City, MT
National Provider Identifier
1437342235
Registry record updated Feb 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
MT624 Issued in MT
Legal business name
DOCHARDY.COM LLC
Practice address
12 Old Montana State Hwy
Montana City, MT 59634-9687
Phone
(406) 442-2020
Fax
(406) 442-0101
NPI assigned
Aug 24, 2007
Last updated
Feb 2, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2011

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

Authorized official

Name
Dr. David S Hardy, O.D.NPI 1598839185
Title
Doctor/Owner
Phone
(406) 442-2020

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X MT624 MT Primary

Addresses

Primary practice location

12 Old Montana State Hwy
Montana City, MT 59634-9687

Mailing address

12 Old Montana State Hwy
Montana City, MT 59634-9687
Phone (406) 442-2020

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090924000573 MT Part B Supplier - Clinic/Group Practice 1456407931 Receives reassigned benefits from 1 practitioner
Practice locations: Montana City, MT

National Provider Directory

National Provider Directory

Locations

633 N Montana Ave
Helena, MT 59601
Phone (406) 442-2020

12 Old Montana State Hwy
Montana City, MT 59634
Phone (406) 442-2020

Practitioners & 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.

NPI Registry JSON

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

{
    "created_epoch": "1187913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296604800000",
    "number": "1437342235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 OLD MONTANA STATE HWY",
            "city": "MONTANA CITY",
            "state": "MT",
            "postal_code": "596349687",
            "telephone_number": "406-442-2020",
            "fax_number": "406-442-0101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 OLD MONTANA STATE HWY",
            "city": "MONTANA CITY",
            "state": "MT",
            "postal_code": "596349687",
            "telephone_number": "406-442-2020",
            "fax_number": "406-442-0101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOCHARDY.COM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-24",
        "last_updated": "2011-02-02",
        "status": "A",
        "authorized_official_last_name": "HARDY",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "DOCTOR/OWNER",
        "authorized_official_telephone_number": "406-442-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MT",
            "license": "MT624",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montana City, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2011; 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.