Organization Active NPI

Helena Eye Clinic PC

  • Ophthalmology Physician
  • Helena, MT
National Provider Identifier
1679585996
Registry record updated May 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
10699 Issued in MT
Legal business name
HELENA EYE CLINIC PC
Practice address
301 Saddle Drive
Helena, MT 59601-8098
Phone
(406) 443-4040
Fax
(406) 443-0773
NPI assigned
Aug 13, 2006
Last updated
May 27, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2008

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

Authorized official

Name
Dr. Craig L WilkersonNPI 1508976267
Title
President
Phone
(406) 443-4040

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 10699 MT Primary

Addresses

Primary practice location

301 Saddle Drive
Helena, MT 59601-8098

Mailing address

301 Saddle Drive
Helena, MT 59601-8098
Phone (406) 443-4040

Other identifiers 1

IdentifierTypeStateIssuer
0090559MedicaidMT

National Provider Directory

National Provider Directory

Locations

301 Saddle Dr
Ste 5
Helena, MT 59601
Phone (406) 443-4040

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1155427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211846400000",
    "number": "1679585996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 SADDLE DRIVE",
            "city": "HELENA",
            "state": "MT",
            "postal_code": "596018098",
            "telephone_number": "406-443-4040",
            "fax_number": "406-443-0773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 SADDLE DRIVE",
            "city": "HELENA",
            "state": "MT",
            "postal_code": "596018098",
            "telephone_number": "406-443-4040",
            "fax_number": "406-443-0773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HELENA EYE CLINIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-13",
        "last_updated": "2008-05-27",
        "status": "A",
        "authorized_official_last_name": "WILKERSON",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "406-443-4040",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MT",
            "license": "10699",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0090559",
            "state": "MT"
        }
    ],
    "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 May 27, 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.