Active NPI
Rocky Mountain Optical & Contact Lens Center, Inc.
- Optician
- Hamilton, MT
National Provider Identifier
1770033847
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- Legal business name
- ROCKY MOUNTAIN OPTICAL & CONTACT LENS CENTER, INC.
- Practice address
- 120 S 5TH St Ste 105
Hamilton, MT 59840-2798 - Phone
- (406) 363-3366
- Fax
- (406) 541-3811
- NPI assigned
- Oct 12, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ryan Peterson
- Title
- Ceo
- Phone
- (406) 541-3937
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician | 156FX1800X | MT | Primary |
Addresses
Primary practice location
120 S 5TH St Ste 105
Hamilton, MT 59840-2798
Mailing address
700 W Kent Ave
Missoula, MT 59801-6772
Phone (406) 541-3937
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MT
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20170216000841 | MT | DME Supplier - Optician | 7315058930 | Practice locations: Hamilton, MT |
Other NPIs with the same Medicare PAC ID 3
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Rocky Mountain Optical & Contact | Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses|Prosthetic Lenses: Prosthetics Cataract Lenses | Accepts assignment |
National Provider Directory
National Provider Directory- Tax ID family
- Rocky Mountain Optical Contact Lens Center Inc
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- Optician
- Helena, MT
- NPI 1114695731
-
- Optician
- Missoula, MT
- NPI 1780695387
-
- Optician
- Butte, MT
- NPI 1073063137
Locations
120 S 5th St
Ste 105
Hamilton, MT 59840
Phone (406) 363-3366
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1476230400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1724889600000",
"number": "1770033847",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 W KENT AVE",
"city": "MISSOULA",
"state": "MT",
"postal_code": "598016772",
"telephone_number": "406-541-3937",
"fax_number": "406-541-3811"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 S 5TH ST STE 105",
"city": "HAMILTON",
"state": "MT",
"postal_code": "598402798",
"telephone_number": "406-363-3366",
"fax_number": "406-541-3811"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROCKY MOUNTAIN OPTICAL & CONTACT LENS CENTER, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2016-10-12",
"last_updated": "2024-08-29",
"certification_date": "2024-08-29",
"status": "A",
"authorized_official_last_name": "PETERSON",
"authorized_official_first_name": "RYAN",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "406-541-3937"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Technician/Technologist, Optician",
"state": "MT",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hamilton, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2024; 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.