Montana Eyecare LLP
Organization Active NPI Optometrist · Helena, MT
NPI 1629020722 · NPPES record last updated Jan 24, 2011
Key facts
- NPI
- 1629020722
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Optometrist 152W00000X
- Legal business name
- MONTANA EYECARE LLP
- Practice address
- 550 N Montana Ave
Helena, MT 59601-3815 - Phone
- (406) 443-2121
- Fax
- (406) 443-4163
- NPI assigned
- May 17, 2006
- Organization subpart
- No
Authorized official
- Name
- William H Simons, O.D.
- Title
- Optometrist
- Phone
- (406) 443-2121
Practitioners 6
-
William Howard Simons, O.D.
-
William James Hasquet, O.D.
-
Kyle Hayter, OD
-
Marcus H Kelley, OD
-
Robert James Simons, O.D.
-
Scott Amestoy, O.D.
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 27D2010435 | Montana Eyecare | Certificate of waiver | Jul 27, 2028 |
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Montana Eyecare LLP |
Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses|Prosthetic Lenses: Prosthetics Cataract Lenses | Accepts assignment |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in MT
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040331001559 | MT | Part B Supplier - Clinic/Group Practice | 9537151451 |
Receives reassigned benefits from 6 practitioners Practice locations: Helena, MT |
| O20100930100012 | MT | DME Supplier - Physician - Optometrist | 9537151451 | Practice locations: Helena, MT |
National Provider Directory
Locations
550 N Montana Ave
Helena, MT 59601
Phone (406) 443-2121
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist |
152W00000X | Yes |
Addresses
Primary practice location
550 N Montana Ave
Helena, MT 59601-3815
Mailing address
550 N Montana Ave
Helena, MT 59601-3815
Phone (406) 443-2121
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1307180001 | Other | MT | DMERC |
| CG4707 | Other | MT | RAILROAD MEDICARE |
Other providers in Helena, MT
- Montana Counseling Services LLC
- Montana CVS Pharmacy LLC
- Montana CVS Pharmacy LLC
- Montana Diagnostic Solutions, LLC
- Montana Elm PLLC
- Montana Health Center
- Montana Home Health Inc.
- Montana Independent Living Project
- Montana Interventional and Diagnostic Radiology Specialists, PLLC
- Montana Kids Dental LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 24, 2011. 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.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.