Organization Active NPI

Bulls Eye Wear LTD. Co.

  • Optician
  • Missoula, MT
National Provider Identifier
1568830685
Registry record updated Jul 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
Legal business name
BULLS EYE WEAR LTD. CO.
Practice address
2910 S Reserve St Ste B
Missoula, MT 59801-7677
Phone
(406) 552-1299
Fax
(732) 595-9714
NPI assigned
Sep 5, 2015
Last updated
Jul 29, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2024

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

Authorized official

Name
Melita Lynette Schaefer, A.B.O.M.NPI 1962901355
Title
Owner/Optician
Phone
(406) 552-1299

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X 2015MSSGEN00229 MT
Optician 156FX1800X Primary

Addresses

Primary practice location

2910 S Reserve St Ste B
Missoula, MT 59801-7677

Mailing address

2910 S Reserve St Ste B
Missoula, MT 59801-7677
Phone (406) 552-1299

National Provider Directory

National Provider Directory

Locations

2910 S Reserve St
Ste B
Missoula, MT 59801
Phone (406) 552-1299

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1441411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722211200000",
    "number": "1568830685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2910 S RESERVE ST STE B",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598017677",
            "telephone_number": "406-552-1299",
            "fax_number": "732-595-9714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2910 S RESERVE ST STE B",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598017677",
            "telephone_number": "406-552-1299",
            "fax_number": "732-595-9714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BULLS EYE WEAR LTD. CO.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-05",
        "last_updated": "2024-07-29",
        "certification_date": "2024-07-29",
        "status": "A",
        "authorized_official_last_name": "SCHAEFER",
        "authorized_official_first_name": "MELITA",
        "authorized_official_middle_name": "LYNETTE",
        "authorized_official_title_or_position": "OWNER/OPTICIAN",
        "authorized_official_telephone_number": "406-552-1299",
        "authorized_official_credential": "A.B.O.M."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "MT",
            "license": "2015MSSGEN00229",
            "primary": false
        },
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Missoula, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 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.