Marcus Andrew Simonich, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

807 Issued in MT

Practice address

417 Main St SW
Ronan, MT 59864-2738

Phone

(406) 676-3937

NPI assigned

May 6, 2009

Last updated

Apr 3, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Optometry

Education

Pacific University - College of Optometry, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mission Valley Eye Center IncGroup PAC ID 6800041542, 2 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Quality

100

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Mission Valley Eye Center, Inc.

  dba Ronan Eye Clinic

  • Optometrist
  • Ronan, MT
  • NPI 1063764173
  Medicare reassignment Care Compare group Authorized official
• Whitefish Eye Center, LLC.

  • Optometrist
  • Whitefish, MT
  • NPI 1285644120
  NPD (past)

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

{
    "created_epoch": "1241568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1333411200000",
    "number": "1497989396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1048",
            "address_2": "8704 DUBAY ROAD",
            "city": "POLSON",
            "state": "MT",
            "postal_code": "59860",
            "telephone_number": "406-749-0259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "417 MAIN ST SW",
            "city": "RONAN",
            "state": "MT",
            "postal_code": "598642738",
            "telephone_number": "406-676-3937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMONICH",
        "first_name": "MARCUS",
        "middle_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-05-06",
        "last_updated": "2012-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MT",
            "license": "807",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aubree Ann Ruzkowski, D.O.
• School District #30
• James Schrock
• Kiera Elaine Sias
• Terrace Raymond Sias
• David Springs, MD
• St Lukes Community Hospital (St. Luke Community Covenient Care Clinic)
• St Lukes Community Hospital
• St Lukes Community Hospital
• St Lukes Community Hospital (St. Luke Community Nursing Home)

• Optometrist in Ronan, MT
• Providers in Ronan, MT by specialty
• Optometrist in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.