Active NPI
Marc F Comaratta MD PC
- Ophthalmology Physician
- Bozeman, MT
National Provider Identifier
1578282620
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- Legal business name
- MARC F COMARATTA MD PC
- Practice address
- 1940 W Dickerson St Ste 103
Bozeman, MT 59718-6851 - Phone
- (406) 284-2370
- Fax
- (406) 284-2372
- NPI assigned
- Aug 23, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Kelly J Holland
- Title
- Office Manager
- Phone
- (406) 284-2370
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | Primary |
Addresses
Primary practice location
1940 W Dickerson St Ste 103
Bozeman, MT 59718-6851
Mailing address
1940 W Dickerson St Ste 103
Bozeman, MT 59718-6851
Phone (406) 284-2370
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MT
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20221208001570 | MT | Part B Supplier - Clinic/Group Practice | 1456720762 |
Receives reassigned benefits from 2 practitioners Practice locations: Bozeman, MT |
National Provider Directory
National Provider DirectoryLocations
1940 W Dickerson St
Ste 103
Bozeman, MT 59718
Phone (406) 224-2370
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Retina Specialist (Ophthalmology) Physician
- Bozeman, MT
- NPI 1053679886
MT, Ophthalmology
-
- Student in an Organized Health Care Education/Training Program
- Miami, FL
- NPI 1770078859
MT, Ophthalmology
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1661212800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1661212800000",
"number": "1578282620",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1940 W DICKERSON ST STE 103",
"city": "BOZEMAN",
"state": "MT",
"postal_code": "597186851",
"telephone_number": "406-284-2370",
"fax_number": "406-284-2370"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1940 W DICKERSON ST STE 103",
"city": "BOZEMAN",
"state": "MT",
"postal_code": "597186851",
"telephone_number": "406-284-2370",
"fax_number": "406-284-2372"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARC F COMARATTA MD PC",
"organizational_subpart": "NO",
"enumeration_date": "2022-08-23",
"last_updated": "2022-08-23",
"certification_date": "2022-08-23",
"status": "A",
"authorized_official_last_name": "HOLLAND",
"authorized_official_first_name": "KELLY",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "406-284-2370",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bozeman, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.