Organization Active NPI

Montana Eyecare LLP

  • Optometrist
  • Helena, MT
National Provider Identifier
1629020722
Registry record updated Jan 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 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
Last updated
Jan 24, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2011

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

Authorized official

Name
William H Simons, O.D.NPI 1699726778
Title
Optometrist
Phone
(406) 443-2121

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 Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
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

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
27D2010435Montana Eyecare550 N Montana Ave, Helena, MT 59601Certificate of waiverJul 27, 2028

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Montana Eyecare LLP550 N Montana Ave, Helena, MT 59601-3815(406) 443-2121 Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses|Prosthetic Lenses: Prosthetics Cataract Lenses Accepts assignmentParticipating since Jan 1, 2000

National Provider Directory

National Provider Directory

Locations

550 N Montana Ave
Helena, MT 59601
Phone (406) 443-2121

Practitioners & affiliated clinicians

Practitioners 6

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": "1147824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295827200000",
    "number": "1629020722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 N MONTANA AVE",
            "city": "HELENA",
            "state": "MT",
            "postal_code": "596013815",
            "telephone_number": "406-443-2121",
            "fax_number": "406-443-4163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 N MONTANA AVE",
            "city": "HELENA",
            "state": "MT",
            "postal_code": "596013815",
            "telephone_number": "406-443-2121",
            "fax_number": "406-443-4163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTANA EYECARE LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-17",
        "last_updated": "2011-01-24",
        "status": "A",
        "authorized_official_last_name": "SIMONS",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "406-443-2121",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Helena, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.