Kootenai Vision Centers PC

Primary specialty

OptometristTaxonomy code 152W00000X

License

495 Issued in MT

Legal business name

KOOTENAI VISION CENTERS PC

Practice address

602 Dewey Ave
Suite 300
Eureka, MT 59917-0960

Phone

(406) 296-2507

Fax

(406) 296-3219

NPI assigned

Sep 4, 2007

Last updated

Feb 12, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Steven L. Sorensen, O.D.NPI 1851463947

Title

Owner/Optometrist

Phone

(406) 293-4136

Specialties & licenses 1

Addresses

Practitioners 2

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.

• Steven L Sorensen, OD

  • Optometrist
  • Libby, MT
  • NPI 1851463947
  NPD (past) Authorized official
• Todd Erickson, O.D.

  • Optometrist
  • Kalispell, MT
  • NPI 1013071455
  NPD (past)

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

{
    "created_epoch": "1188864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202774400000",
    "number": "1619161502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 960",
            "city": "EUREKA",
            "state": "MT",
            "postal_code": "599170960",
            "telephone_number": "406-296-2507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 DEWEY AVE",
            "address_2": "SUITE 300",
            "city": "EUREKA",
            "state": "MT",
            "postal_code": "599170960",
            "telephone_number": "406-296-2507",
            "fax_number": "406-296-3219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOOTENAI VISION CENTERS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-04",
        "last_updated": "2008-02-12",
        "status": "A",
        "authorized_official_last_name": "SORENSEN",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "OWNER/OPTOMETRIST",
        "authorized_official_telephone_number": "406-293-4136",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MT",
            "license": "495",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kalispell Regional Medical Center Inc (Eureka Health Therapy Center)
• Kalispell Regional Medical Center Inc (Eureka Health Prompt Care)
• Erica L Kepner, DPT
• Danielle Kimbrell, LCSW
• Jenny M Komac, D.C.
• Larry J Lawler, M.S.C, L.C.P.C
• Karen Joann Lee, RDH
• Lincoln County Community Health Center (Northwest Community Health Center)
• Logan Health - Whitefish (Logan Health Rural Health Clinic- Eureka)
• Dana Longstreth, SLP

• Optometrist in Eureka, MT
• Providers in Eureka, MT by specialty
• Optometrist in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2008; 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.