Individual provider Active NPI

Arianna Thereseschabauer Lemay, OD

  • Optometrist
  • Bozeman, MT
National Provider Identifier
1508436627
Registry record updated Nov 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4408 Issued in MT
Practice address
280 W Kagy Blvd Ste B
Bozeman, MT 59715-6056
Phone
(406) 522-8888
NPI assigned
Jun 30, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4408 MT Primary

Addresses

Primary practice location

280 W Kagy Blvd Ste B
Bozeman, MT 59715-6056

Mailing address

280 W Kagy Blvd
Bozeman, MT 59715-6056
Phone (406) 522-8888

Other practice location 1

270 W Kagy Blvd Ste B
Bozeman, MT 59715-6055
Phone (406) 404-1375

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
I20220811000323 MT Practitioner - Optometry 0244625325 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vital Vision PLLCGroup PAC ID 0941622112, 3 clinicians
Serendipity EyecareGroup PAC ID 6406080787, 3 clinicians

Practice addresses (Care Compare)

270 W Kagy Blvd
Suite B
Bozeman, MT 59715-6055
Phone (406) 404-1666

280 W Kagy Blvd
Suite B
Bozeman, MT 59715-6056
Phone (406) 522-8888

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4408MTMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Serendipity Eyecare Optometrist CurrentSince Jul 1, 2022 Accepting new patients
Vital Vision PLLC Optometrist CurrentSince Aug 1, 2022 Accepting new patients

Locations

280 W Kagy Blvd
Ste B
Bozeman, MT 59715
Phone (406) 522-8888

270 W Kagy Blvd
Ste B
Bozeman, MT 59715
Phone (406) 404-1375

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1625011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700438400000",
    "number": "1508436627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 W KAGY BLVD",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597156056",
            "telephone_number": "406-522-8888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 W KAGY BLVD STE B",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597156056",
            "telephone_number": "406-522-8888"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "270 W Kagy Blvd Ste B",
            "address_purpose": "LOCATION",
            "city": "Bozeman",
            "state": "MT",
            "postal_code": "597156055",
            "country_code": "US",
            "telephone_number": "406-404-1375",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEMAY",
        "first_name": "ARIANNA",
        "middle_name": "THERESESCHABAUER",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-30",
        "last_updated": "2023-11-20",
        "certification_date": "2023-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MT",
            "license": "4408",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bozeman, MT

Sources for this page

Verify at the official NPI Registry.