Individual provider Active NPI

John Everett Creger, O.D.

  • Optometrist
  • Dillon, MT
National Provider Identifier
1720330053
Registry record updated Feb 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT-OPT-LIC-2475 Issued in MT
Practice address
233 E Glendale St
Dillon, MT 59725-2707
Phone
(406) 683-2611
NPI assigned
Oct 10, 2012
Last updated
Feb 15, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 15, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OD 60576842 WA
Optometrist 152W00000X OPT-OPT-LIC-2475 MT Primary

Addresses

Primary practice location

233 E Glendale St
Dillon, MT 59725-2707

Mailing address

233 E Glendale St
Dillon, MT 59725-2707
Phone (406) 683-2611

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT
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
I20160314001233 MT Practitioner - Optometry 8527364744 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Creger Family Eye Care PCGroup PAC ID 6103991229, 2 clinicians

Practice addresses (Care Compare)

233 E Glendale St
Dillon, MT 59725-2707
Phone (406) 683-2611

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery11

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OD 60576842WAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Creger Family Eye Care, PC Optometrist CurrentSince Mar 15, 2016 Accepting new patients

Locations

233 E Glendale St
Dillon, MT 59725
Phone (406) 683-2611

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": "1349827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676419200000",
    "number": "1720330053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "233 E GLENDALE ST",
            "city": "DILLON",
            "state": "MT",
            "postal_code": "597252707",
            "telephone_number": "406-683-2611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "233 E GLENDALE ST",
            "city": "DILLON",
            "state": "MT",
            "postal_code": "597252707",
            "telephone_number": "406-683-2611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CREGER",
        "first_name": "JOHN",
        "middle_name": "EVERETT",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-10-10",
        "last_updated": "2023-02-15",
        "certification_date": "2023-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "OD 60576842",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MT",
            "license": "OPT-OPT-LIC-2475",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dillon, MT

Sources for this page

Verify at the official NPI Registry.