Individual provider Active NPI

Kelci Kay Rolfstad, O.D.

  • Optometrist
  • Billings, MT
National Provider Identifier
1730498817
Registry record updated Jun 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT-OPT-LIC-1845 Issued in MT
Practice address
430 Lake Elmo Dr
Billings, MT 59105-3066
Phone
(406) 252-9927
NPI assigned
Oct 6, 2010
Last updated
Jun 28, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT-OPT-LIC-1845 MT Primary

Addresses

Primary practice location

430 Lake Elmo Dr
Billings, MT 59105-3066

Mailing address

430 Lake Elmo Dr
Billings, MT 59105-3066
Phone (406) 252-9927

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
I20130924000937 MT Practitioner - Optometry 3476794900 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Heights Eyecare, Inc.Group PAC ID 7810957495, 6 clinicians

Practice addresses (Care Compare)

430 Lake Elmo Dr
Billings, MT 59105-3037
Phone (406) 252-9927

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery11

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT-OPT-LIC-1845MTMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Heights Eyecare, Inc. Optometrist CurrentSince Aug 20, 2013 Accepting new patients

Locations

430 Lake Elmo Dr
Billings, MT 59105
Phone (406) 252-9927

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": "1286323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372377600000",
    "number": "1730498817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 LAKE ELMO DR",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591053066",
            "telephone_number": "406-252-9927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 LAKE ELMO DR",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591053066",
            "telephone_number": "406-252-9927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROLFSTAD",
        "first_name": "KELCI",
        "middle_name": "KAY",
        "name_prefix": "Mrs.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-06",
        "last_updated": "2013-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MT",
            "license": "OPT-OPT-LIC-1845",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Billings, MT

Sources for this page

Verify at the official NPI Registry.