John D Hutchison, OD
Individual provider Active NPI Optometrist · Corvallis, MT
NPI 1477592509 · NPPES record last updated Mar 20, 2015
Key facts
- NPI
- 1477592509
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- 599OPT (MT)
- Practice address
- 1031 Main Street
Corvallis, MT 59828-0911 - Phone
- (406) 363-1530
- Fax
- (406) 363-1547
- NPI assigned
- Jun 5, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Optometry
- Education
- Pacific University - College of Optometry, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1031 Main St
Corvallis, MT 59828-9374
Phone (406) 360-1092
PO Box
Suite 911
Corvallis, MT 59828-0911
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080710000176 | MT | Practitioner - Optometry | 9739251646 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 599OPT | MT | MD | Optometrist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 599OPT | MT | Yes |
Addresses
Primary practice location
1031 Main Street
Corvallis, MT 59828-0911
Mailing address
PO Box 911
Corvallis, MT 59828-0911
Phone (406) 363-1530
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0480760 | Medicaid | MT | |
| 02685-1 | Other | MT | BCBS |
Other providers in Corvallis, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 20, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.