Lolo Creek Vision

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

LOLO CREEK VISION

Practice address

4000 Brooks St
Missoula, MT 59804-7347

Phone

(406) 251-3679

NPI assigned

Oct 17, 2024

Organization subpart

No

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

Authorized official

Name

Madison Smith, ODNPI 1801515366

Title

Optometrist/Owner

Phone

(419) 654-1255

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Madison Nicole Smith, OD

  • Optometrist
  • Waterville, OH
  • NPI 1801515366
  NPD Authorized official

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

{
    "created_epoch": "1729123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729123200000",
    "number": "1497576938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 827",
            "city": "LOLO",
            "state": "MT",
            "postal_code": "598470827",
            "telephone_number": "419-654-1255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 BROOKS ST",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598047347",
            "telephone_number": "406-251-3679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOLO CREEK VISION",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-17",
        "last_updated": "2024-10-17",
        "certification_date": "2024-10-17",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "MADISON",
        "authorized_official_title_or_position": "OPTOMETRIST/OWNER",
        "authorized_official_telephone_number": "419-654-1255",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• C Paul Loehnen, MD
• Logan Cook Counseling, PLLC
• Davis Logan, SWLC, MSW
• Stephen G Lohning, MA, LAC,LCPC
• Shannon Rhea Lollar, PHD, LPC, LCPC, CCPT
• Natasha L Loman, MSW, LCSW
• Jill Lombardi
• Jacqueline Long
• Jesse Long, DPT
• Jocelyn Long, DPT

• Health Service Clinic/Center in Missoula, MT
• Providers in Missoula, MT by specialty
• Health Service Clinic/Center in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.