Organization Active NPI

Philip J Owsley O D & Assoc PC

  • Optometrist
  • Bozeman, MT
National Provider Identifier
1598207201
Registry record updated Jun 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
590 Issued in MT
Legal business name
PHILIP J OWSLEY O D & ASSOC PC
Practice address
1500 N 7TH Ave
Bozeman, MT 59715-2557
Phone
(406) 585-8153
Fax
(406) 586-3734
NPI assigned
Nov 11, 2016
Last updated
Jun 27, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2024

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

Authorized official

Name
Philip Owsley, O.D.NPI 1477699213
Title
President
Phone
(406) 585-8153

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 590 MT Primary

Addresses

Primary practice location

1500 N 7TH Ave
Bozeman, MT 59715-2557

Mailing address

1500 N 7TH Ave
Bozeman, MT 59715-2557
Phone (406) 585-8153

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170116000314 MT Part B Supplier - Clinic/Group Practice 1557643178 Receives reassigned benefits from 1 practitioner
Practice locations: Bozeman, MT

National Provider Directory

National Provider Directory

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": "1478822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719446400000",
    "number": "1598207201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 N 7TH AVE",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597152557",
            "telephone_number": "406-585-8153",
            "fax_number": "406-586-3734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 N 7TH AVE",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597152557",
            "telephone_number": "406-585-8153",
            "fax_number": "406-586-3734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILIP J OWSLEY O D & ASSOC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-11",
        "last_updated": "2024-06-27",
        "certification_date": "2024-05-24",
        "status": "A",
        "authorized_official_last_name": "OWSLEY",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "406-585-8153",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MT",
            "license": "590",
            "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 Jun 27, 2024; 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.

Verify at the official NPI Registry.