Individual provider Active NPI

Michael Briggs Wardell, O.D.

  • Optometrist
  • Billings, MT
National Provider Identifier
1477695856
Registry record updated Oct 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
528 Issued in MT
Practice address
1005 24TH St W
Ste 8
Billings, MT 59102-3800
Phone
(406) 281-8480
NPI assigned
Feb 13, 2007
Last updated
Oct 13, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 13, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 528 MT Primary

Addresses

Primary practice location

1005 24TH St W
Ste 8
Billings, MT 59102-3800

Mailing address

PO Box 23195
Billings, MT 59104-3195
Phone (406) 670-7472

Other identifiers 2

IdentifierTypeStateIssuer
27700OtherMTBCBS OF MONTANA
483667MedicaidMT

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20130606000621 MT Practitioner - Optometry 7012155807 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
528MTMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Wardell Vision Center, PC Optometrist CurrentSince Feb 15, 2013 Accepting new patients

Locations

1005 24th St W
Ste 8
Billings, MT 59102
Phone (406) 281-8180

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444694400000",
    "number": "1477695856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 23195",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591043195",
            "telephone_number": "406-670-7472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 24TH ST W",
            "address_2": "STE 8",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591023800",
            "telephone_number": "406-281-8480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARDELL",
        "first_name": "MICHAEL",
        "middle_name": "BRIGGS",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-13",
        "last_updated": "2015-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MT",
            "license": "528",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS  OF  MONTANA",
            "identifier": "27700",
            "state": "MT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "483667",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Billings, MT

Sources for this page

Verify at the official NPI Registry.