Leonard & David Vainio PC
Organization Active NPI Optometrist · Deer Lodge, MT
NPI 1578747804 · NPPES record last updated Apr 23, 2008
Key facts
- NPI
- 1578747804
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Optometrist 152W00000X
- License
- MT0426 (MT)
- Legal business name
- LEONARD & DAVID VAINIO PC
- Practice address
- 513 Main St
Deer Lodge, MT 59722-1461 - Phone
- (406) 846-2854
- NPI assigned
- Dec 21, 2007
- Organization subpart
- No
Authorized official
- Name
- Dr. David G Vainio, O.D.
- Title
- Optometrist
- Phone
- (406) 563-6471
Other NPIs on the same Medicare enrollment 6
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MT
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040113000778 | MT | Part B Supplier - Clinic/Group Practice | 2567362551 |
Receives reassigned benefits from 5 practitioners 6 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Anaconda, MT; Polson, MT; Missoula, MT; Butte, MT; Deer Lodge, MT |
National Provider Directory
Locations
513 Main St
Deer Lodge, MT 59722
Phone (406) 846-2854
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist |
152W00000X | MT0426 | MT | Yes |
Addresses
Primary practice location
513 Main St
Deer Lodge, MT 59722-1461
Mailing address
100 W Park Ave
Anaconda, MT 59711-2259
Phone (406) 563-6471
Other names
- American Eyecare
Other providers in Deer Lodge, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 23, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.