Individual provider Active NPI

Michael G Houle, OD

  • Optometrist
  • Bismarck, ND
National Provider Identifier
1669530259
Registry record updated Jan 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
496 Issued in ND
Practice address
1929 N Washington St Ste Aa
Bismarck, ND 58501-1616
Phone
(701) 255-7894
Fax
(701) 989-6098
NPI assigned
Dec 5, 2006
Last updated
Jan 27, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 496 ND Primary

Addresses

Primary practice location

1929 N Washington St Ste Aa
Bismarck, ND 58501-1616

Mailing address

1929 N Washington St Ste Aa
Bismarck, ND 58501-1616
Phone (701) 255-7894

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070517000684 ND Practitioner - Optometry 1254391345 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eyes on Bismarck PCGroup PAC ID 0840539953, 2 clinicians

Practice addresses (Care Compare)

1929 N Washington St
Suite Aa
Bismarck, ND 58501-1616
Phone (701) 255-7894

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
496NDMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Eyes on Bismarck P.C. Optometrist CurrentSince Mar 1, 2019 Accepting new patients

Locations

1929 N Washington St
Ste Aa
Bismarck, ND 58501
Phone (701) 255-7864

2331 Tyler Pkwy
Ste 2
Bismarck, ND 58503
Phone (701) 258-4384

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580083200000",
    "number": "1669530259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1929 N WASHINGTON ST STE AA",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585011616",
            "telephone_number": "701-255-7894",
            "fax_number": "701-989-6098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1929 N WASHINGTON ST STE AA",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585011616",
            "telephone_number": "701-255-7894",
            "fax_number": "701-989-6098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOULE",
        "first_name": "MICHAEL",
        "middle_name": "G",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-05",
        "last_updated": "2020-01-27",
        "certification_date": "2020-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "ND",
            "license": "496",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bismarck, ND

Sources for this page

Verify at the official NPI Registry.